Get International Claim Form - Myuhc.com - Sanantonio

Filing an international claim can be a straightforward process when you have the right guidance. This guide will provide step-by-step instructions on how to properly fill out the International Claim Form - MyUHC.com - Sanantonio to ensure that your claims are submitted accurately and efficiently online.

Follow the steps to complete your International Claim Form successfully.

1. Press the ‘Get Form’ button to obtain the International Claim Form and open it for editing.
2. Begin filling out Section 1, which is for Member & Patient Information. Indicate if you are an expatriate, traveling for pleasure, or for business. Then provide your group name, policy number, member name, member ID number, patient name, relationship to the member, and the patient’s date of birth.
3. Enter the member's contact information, including a phone number and return correspondence address, along with the country where the treatment took place and the currency type used for billing.
4. Specify the total amount of the claim in U.S. dollars, if applicable, and check the appropriate type of service rendered from the provided list.
5. Move to Section 2 for Healthcare Provider Contact Information. Fill in the name of the healthcare provider, the facility or hospital name, address, and telephone number (including the country code), along with the date of service and a brief explanation of the treatment or procedure performed.
6. Review the important information listed in Section 3 for submitting your medical claim. This includes recommendations for faxing and original document submission, as well as ensuring all information is accurately provided to avoid delays.
7. Finally, sign and date the form in the space provided. Ensure all sections are completed before submission to prevent any delays in processing your claim. You can then save changes, download, print, or share the form as needed.

Complete your International Claim Form online today to ensure timely processing of your claims.