Need to report a new claim for the first time?

Use the ‘START A NEW CLAIM’ button below to start the process and complete the secure HIPAA compliant claim forms.

Already submitted a claim and need to fill out claim forms?

Use the ‘COMPLETE CLAIM FORMS’ button below to complete the secure HIPAA compliant claim forms.

Existing claim questions?

If you have already filled out and submitted the ‘START A NEW CLAIM’ or ‘COMPLETE CLAIM FORMS’ options  above and have a general or follow up question, use the ‘FOLLOW UP ON A CLAIM’ button below.