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WELLNESS CLAIM FORM If you have any questions regarding our determination of your claim, or if you would like to appeal any determination, please contact our Customer Care Center at 1-800-348-4489
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Claim forms and oformr are documents used to request compensation or reimbursement for expenses incurred.
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Information such as personal details, expenses incurred, receipts, and any other supporting documentation must be reported on claim forms and oformr.
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