When filing a claim for reimbursement, it is imperative that you submit the supporting documentation. If you are unable to upload the documentation, you must get the CLAIM CONFIRMATION PAGE associated with your claim. Please follow these simple steps to get your CLAIM CONFIRMATION PAGE, which is to be used as the cover page for all alternative methods of submittal.
SAMPLE CLAIM CONFIRMATION
The CLAIM CONFIRMATION page contains all of the information that we need to be able to identify you, and the claim you are filing. It also provides the fax number, mailing address, and email address for submitting your documentation via alternative means. Please Note: This sample is not your claim confirmation.
How to Get Your CLAIM CONFIRMATION
Step 1: You will first have to login to your account (How to Log Into Your Account).
Step 2A: There are two ways to get a copy of your CLAIM CONFIRMATION. If you are starting a new claim now (How to File a Claim), the CLAIM CONFIRMATION page can be obtained near the end of the claim filing process (see images below). After submitting your claim, click the link labeled CLAIM CONFIRMATION FORM to obtain the confirmation page.
Step 2B: If you missed the confirmation while filing a claim, you may select the RECEIPT(S) NEEDED link in your MESSAGE CENTER (see image below).
You must then select VIEW CONFIRMATION to obtain your confirmation page.
Step 4: Print or save the document, and use it as the cover page for your documentation. The fax number, email address, and mailing address are all located on the cover letter. Congratulations, you may now submit your documentation!