Here are some helpful tips to guide you through the process of filing. You can also download this helpful checklist as well.

• Claimant’s name, date of birth, SSN (if other than primary insured)
• Date of visit and physician/facility details
• Copy of bill(s)
• if your policy covers prescription drugs, please provide pharmacy information, date prescription was filled and prescription number
• Copy of receipts for each prescription

Then, before you know it, you’ll start receiving the benefits you need in less time than filing by paper!

For a paper form, download, print and fax the completed document to 1-800-880-9325 or mail to P.O. Box 100195, Columbia, SC 29202-3195.

Doctor's office visit claim

Wellness/Health Screening claim