Please follow the guidelines below in order to submit a claim:
- Contact your insurance carrier in order to obtain information about how to file a claim as well as the relevant claim forms. You may do so by visiting their website or by calling the member services number on your insurance card;
- Complete the claim form per the instructions on the form (Print Clearly; Use Black Ink);
- Forward the original signed form(s) to the appropriate insurance carrier;
- Keep a copy of the claim form(s) and all supporting documentation for your records.