Health Insurance Claim Letter

September 12, 2005

Ms. Roalyn D. Santiago
Health Care Representatibe
ABC Health Care Inc.
Cubao, Quezon City

Dear Ms. Santiago:

I would like to request reimbursement for medical expenses for policy no. 215001A. I was visiting my nephews at Cebu City, when I pain sudden pain at my left belly so I was treated at Cebu City General Hospital and need to pay the bill in full. The amount was Php15,256.00 for ultrasounds, x-ray and two nights at the hospital.

I already call your office regarding all my concerns.  Attached herewith is all the documents related to my treatment as well as the sign of my physician during my stay at the hospital.

I hope for your quick action regarding this matter. If you have any question, please reach me a 0923643156.

Sincerely yours,

Jelleny R. Go