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CARRIER 1500 Please submit claims to: Beacon Health Options P.O. Box 1800 Latham, NY 12110 HEALTH INSURANCE CLAIM FORM New York State Government Employees Health Insurance Program APPROVED BY NATIONAL
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How to fill out please submit claims to

01
Step 1: Obtain a claim form from the insurance provider or download it from their website.
02
Step 2: Fill in your personal information, including your name, address, and contact details.
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Step 3: Provide details of the claim, such as the policy number, date of the incident, and a description of what happened.
04
Step 4: Attach any supporting documents, such as receipts, medical reports, or photographs, that are necessary to support your claim.
05
Step 5: Double-check all the information on the form for accuracy and completeness.
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Step 6: Submit the completed claim form along with the supporting documents to the designated address or email provided by the insurance provider.
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Step 7: Keep a copy of the claim form and all supporting documents for your records.
08
Step 8: Follow up with the insurance provider to track the status of your claim and provide any additional information or documentation if required.

Who needs please submit claims to?

01
Anyone who has an insurance policy and needs to file a claim should submit it to the relevant insurance provider.
02
Individuals who have experienced an event covered by their insurance policy, such as an accident, illness, property damage, or theft, should submit a claim.
03
Businesses or organizations that have suffered a loss, such as property damage, liability claims, or business interruption, should also submit a claim to their insurance provider.

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