Search results with tag "Claim form completed"
UHIP Claim form
uhip.caHow to submit your completed claim form UHIP Members: From your University email account, you can email us your claim form and receipts to myclaims@sunlife.com. Email subject line should include: #50150 and the UHIP Member ID. Health Care Providers: Email us the claim form and receipts to myclaims@sunlife.com. ONLY one member claim per email. Email
COVID-19 Over-the-Counter (OTC) Test Kit Claim Form
www.cigna.comSend your completed claim form and receipt to the Cigna address listed on your ID card. If you have additional questions, please contact Customer Service using the toll-free number on your ID card. CLICK TO PRINT. 963829 02/2022. Page 4 of 4
Claim Form - Virginia
workcomp.virginia.govA completed Claim Form and medical records* to support the . claim must be filed for this to occur. The primary objective is to hear and decide disputed claims and issues arising . under the Virginia Workers’ Compensation Act in a prompt, fair and impartial manner. • Lifetime Medical