Claim forms

The options listed in the below brochures may not be available to all beneficiaries. If you have questions on your available options, please call us toll-free at 877-880-6367. We are available Monday through Thursday from 7:30 am to 5:00 pm (CST) and Friday from 7:30 am to 12:30 pm (CST).

Please allow 10 calendar days for the review of any documents submitted for processing. If you have submitted the final requirement for a Claim, our processing goal is 10 calendar days. Processing time may be extended if additional review or documentation is required. Follow up letters are required to be mailed on any outstanding claim requirements preventing us from settling claims. If you have already submitted documents and received a follow up letter requesting these documents please allow 10 calendar days for processing in addition to mail time. For more information about the Cliams process check out the Claims FAQ.