Medical Claim Reimbursement Form

This form is designed to provide a comprehensive structure for submitting a medical claim for reimbursement to an insurance company. Please fill out all sections completely to avoid delays in processing.

Section 1: Policy Holder/Insured Information

Policy Holder Name

First Name

Last Name

Policy Holder ID/Employee ID

Policy/Group Number

Date of Birth

Contact Phone Number

Email Address

Mailing Address

Street Address

Street Address Line 2

City

State/Province

Postal/Zip Code

Section 2: Patient Information (If different from Policy Holder)

If the patient is the Policy Holder, check here and proceed to Section 3.

Patient Full Name

Patient Date of Birth

Patient Relationship to Policy Holder

Patient ID (if applicable)

Section 3: Claim Details

Date of Service (First)

Date of Service (Last)

Type of Claim

Illness

Injury

Maternity

Wellness

Other:

Brief Description of Illness/Injury/Reason for Visit.

Section 4: Provider/Facility Information

Provider/Facility Name

Provider/Facility Tax/Identification Number

Contact Phone Number

Street Address

Street Address Line 2

City

State/Province

Postal/Zip Code

Attending Physician Name

Physician Specialty

Section 5: Itemized Medical Expenses

Date of Service

Description of Service/CPT Code

Amount Billed

Amount Paid by Patient

A
B
C
D
1
 
 
 
 
2
 
 
 
 
3
 
 
 
 
4
 
 
 
 
5
 
 
 
 
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7
 
 
 
 
8
 
 
 
 
9
 
 
 
 
10
 
 
 
 
11
TOTAL CLAIM AMOUNT (Sum of 'Amount Billed')
 
$0.00
 

Please attach all original, itemized bills, receipts, and physician notes.

File Name

Upload File

A
B
1
 
 
2
 
 
3
 
 
4
 
 
5
 
 

Section 6: Other Insurance Information (Coordination of Benefits)

Do you have other insurance coverage for these services?

If Yes, please complete the following:

 

Other Insurance Company Name

Policy/Group Number

Name of Insured on Other Policy

Amount Paid by Other Insurer

Attach Explanation of Benefits - EOB

Choose a file or drop it here
 

Section 7: Payment Instructions

Please select how you would like to receive your reimbursement:

 

Option 1:

 

Check/Bank Draft

Send to Policy Holder's Mailing Address (Section 1)

 

Option 2:

 

Direct Deposit/Electronic Funds Transfer (EFT)

Bank Name

Account Number

Routing/Sort Code

Section 8: Declarations and Authorization

I certify that the information provided in this claim form is true, accurate, and complete.

I authorize any healthcare provider, facility, or other insurer to release necessary medical information to the insurance company or its authorized agents for the purpose of processing this claim.

I understand that the intentional misrepresentation of facts may result in the denial of this claim and/or further action.

Section 9: Checklist for Submission

Please ensure you have attached the following before submitting this form:

Original, itemized bills/invoices from the provider/facility.

Proof of payment (receipts, bank statements, etc.).

Physician's notes, report, or prescription (as required by your policy).

Explanation of Benefits (EOB) from any other insurance company (if applicable).

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