Claim forms
Most providers will submit claims on your behalf, but if you need to submit a claim yourself, please use the claim form linked below. Please check with your provider to verify if you need to submit a claim.
Once a claim has been processed, an Explanation of Benefits (EOB) will be mailed to you. EOBs are also available on your member portal. The EOB will list the amount that was paid to the provider (if applicable) for each procedure, as well as any remaining balance that is the patient's responsibility.