File a claim
Enter your claim online. It's the fastest (and most secure) way to get paid!
Click here to log into your account and enter your claim online.
Was my claim received?
To verify your claim has been received, click here.
Claim filing instructions
When filing your claim, you must attach copies of the receipts. The receipt must show the date and type of service. Cancelled checks, credit card slips, or statements showing only a balance due on your account are not allowable. Keep a copy of the claim form and supporting documents for your records.
Paper claim forms (online claim forms are faster): Click a link below to print a form.