Instructions to eFile a claim

Click on the link “eFile or View Claims”

Select the appropriate Plan Year and Account for the claim to be filed and then click the Submit button

To enter a new claim, click on the “Submit a New Claim” button

Enter your claim information, when complete, click the Submit button

Repeat the process until all claims have been entered. When complete, click on the “Print a Fax Cover Page” button

Print the Fax Cover Page.

Sign the form and Fax to us using the Fax number on the form.

Be sure to include your supporting documentation along with your Fax.