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Is a New Address? Yes Date of Service No Zip Code Email Address: Description of Expense Family Member for Whom Expense Was Incurred Amount of Expense Medical Dependent Expense Care TOTAL UNREIMBURSED MEDICAL (URM) EXPENSE GUIDELINES: With the expense voucher, you will need to submit a professional bill or receipt that includes the following: 1) Service provider s name; 2) Type of service rendered; 3) Charge for service; and 4) Original date of service. Note: the date of service, NOT th.

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Reimbursement Questions & Answers

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What is a Pre-Existing Condition? A condition for which you have received treatment, incurred expense, taken medication, received services or a diagnosis or advice from a physician during the period described in the policy immediately before the effective date of coverage.

What is the processing time once a claim is submitted? Claims are generally processed within 5-7 business days after all required documentation is submitted. However, your accident policy's annual wellness benefit may qualify for quick processing.

Headquartered in Oklahoma City, OK, AFA is a subsidiary of American Fidelity Corporation, which is owned by the founding Cameron family. The company has ranked on Fortune magazine's "100 Best Companies to Work For" list 15 times, most recently in 2021. American Fidelity serves 1 million customers in 49 states.

The fastest way to file an insurance claim is through your online account, or on our mobile app, AFmobile®....Online Log in to your online account. Click the File a Claim button. Select Reimbursement Account. Complete the claim form. Click the Submit button.

The plan pays a benefit when an Accidental Death or Dismemberment occurs within 90 days of a covered accident. Policy is guaranteed renewable for as long as premiums are paid as required. You have a busy schedule, and your time is important.

Claims are generally processed within 5-7 business days after all required documentation is submitted. Your cancer policy's annual diagnostic testing and screening benefit may qualify for quick processing.

What is Fidelity & Crime Insurance? Fidelity and Crime insurance coverage addresses the most common threats to organizations, including losses due to employee dishonesty, credit card forgery, computer fraud and theft, and the disappearance or destruction of property.

DIAGNOSTIC TESTING BENEFIT No Lifetime Maximum Pays up to $60.00 per calender year for any Covered Person to have one or more of the following screening tests performed: mammogram; flexible sigmoidoscopy; colonoscopy; pap smear (test only); prostate specific antigen (PSA); chest X-ray; hemocult stool specimen or any ...

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232