All claims require an Accident Claim Form, Itemized Bill, and the corresponding Explanation of Benefits (EOB) from the patient’s primary medical insurance (if policy is secondary) in order to process payment. Submitting an incomplete claim file, may cause a delay in processing. You will be contacted by the Claim Examiner if information is missing.
Please make sure all attachments are clear and legible. PDF attachments are the easiest for our Document Center to view and upload into our system. Illegible documentation may cause a delay in processing.