Submit a Claim

Before you start the online claims process, you will need:

  • * Scanned receipts in pdf, jpg, jpeg, png or gif formats.
  • * Scanned medical records in pdf, jpg, jpeg, png or gif formats.

NOTE: If you have received an email asking you to resubmit your claim, please login to My Account to resubmit it.

* Denotes A Required Field
Online Claim