Notice
We’re experiencing a high volume of calls and emails, causing delays in response times. We apologize for any inconvenience and appreciate your patience.
On November 19th, the Call Center will be open from 8:00 AM to 11:45 AM ET due to team training.
To view benefit information and claim status at any time, you can sign into your account or use our Interactive Voice Response System 24/7 at 800-452-9310.
Standard Forms for Brokers
Easily access and download the standard forms and applications you need.
Authorization Form Granting Access to PHI - Insured Clients (PDF, 3 pages, 52kb)
Authorization Form Granting Access to PHI - Self Funded Clients (PDF, 3 pages, 51kb)
