Starting October 1, 2015


  • The old 24HourFlex paper claim form (pictured below) will no longer be accepted as of October 1st, 2015.
  • Better methods for submitting claims are outlined below!

Why Is This Changing?


  • To protect your personal information (social security number & protected health information, or PHI)
  • To speed up how quickly we are able reimburse you
  • To reduce errors from reading handwriting

How to Submit Claims

  • 24HourFlex Mobile App

    • Click the link or icon above for instructions on how to use the app
    • Search “24HourFlex Mobile” in the Apple or Google Play Stores
  • Online in Consumer Portal

    • Click the link or icon above for instructions
    • Saves time and requires zero paper!
    • You upload a PDF copy of your receipt(s)
  • Enter Online & Print Claim Form

    • Click the link or icon above for instructions
    • Step 6 explains how to print the form after entering claim information online.

Old Claim Form

Old 24HourFlex Claim Form