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Claims

IMPORTANT NOTE:

Completed claim form(s)

Claims can only be processed when supporting documents are submitted with the specific completed claim form(s). Please contact us if you need any assistance.

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Filing

File my claims online

File my claims online Through the Standard My Benefits Website.

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Claims

Check my claim status

View coverage and benefit information or update my profile.

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Policy Info

I need my policy number

Check below for policy number information. First time users will need to register.

What do you need to file your claim?

• Your policy number

• An itemized bill with the necessary codes

• UB04 - if admintted to the hospital for more than 24hrs

• A completed claim form

• Your supporting documents to show your injuries if it's an accident claim

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Have additional questions?
Please click our AI assistantat at the bottom right of the page.

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I prefer to complete my claim forms manually with the forms below.

Fax claim forms To 1(561)-952-6789

Frequently asked questions

If you need further assistance please contact us Tel: 561-932-0660

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