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Cafeteria Plan Services.cps125.com Phone 866.791.2802 Fax 888.926.6428Paper Claim Reimbursement Fax you claim with copies of your receipts to 888.926.6428 Email your claim with copies of your receipts
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How to fill out paper claim reimbursement
How to fill out paper claim reimbursement
01
Step 1: Obtain the paper claim reimbursement form from your insurance provider.
02
Step 2: Fill in your personal information, such as your name, address, and contact details.
03
Step 3: Provide the necessary policy information, such as your policy number and coverage details.
04
Step 4: Attach the relevant supporting documents, such as medical receipts or invoices.
05
Step 5: Fill in the details of the expenses you are claiming reimbursement for, including the date, description, and amount.
06
Step 6: Review all the information you have entered for accuracy and completeness.
07
Step 7: Submit the completed form along with the supporting documents to your insurance provider through mail or in person.
08
Step 8: Keep a copy of the completed form and supporting documents for your records.
09
Step 9: Wait for the reimbursement process to be completed, which may involve verification and approval by the insurance provider.
10
Step 10: Once approved, you will receive the reimbursement payment according to your policy terms and conditions.
Who needs paper claim reimbursement?
01
Individuals who have insurance coverage and have incurred eligible expenses can make use of paper claim reimbursement.
02
It is particularly useful for those who do not have access to online reimbursement systems or are not comfortable with digital processes.
03
Some insurance providers may also require paper claim reimbursement for certain types of expenses or policyholders.
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