Claim forms
Get your benefits moving with the right claim documents. Choose a category below to find and download the appropriate forms for your specific coverage.
Claims Checklist
Helpful Tips:
- If uploading a picture from your phone, please only submit the medical documentation for your proof of services.
- When taking photo copies of the documents make sure the document is flat. Flatten documents that have been folded or crumbled before uploading.
- Check the lighting on the document(s) before submitting. If the document is already dark before the document is submitted, it will not be legible for review after submission.
- Do not highlight specific areas on the document(s) before submitting them. The highlighted area will show as illegible and will block out the area and/or verbiage that was highlighted for review.
Checklists
