Get Extended Health Care Standard Claim Form - Sd 85

Filling out the Extended Health Care Standard Claim Form - SD 85 online can be a straightforward process if you follow the right steps. This guide will provide you with detailed instructions to help you navigate through each section of the form with confidence.

Follow the steps to complete the form effortlessly.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by entering your member information, including your ID number, policy number, name, employment status, address, and daytime phone number. Ensure all details are accurate.
3. Indicate if you or your dependents have other insurance coverage by checking 'Yes' or 'No'. If applicable, provide the name of the other insurance company and additional policy details.
4. If your claim is related to an accident, select 'Yes' and provide relevant details. Also, indicate if the case is a WorkSafe BC or ICBC claim.
5. Fill out the expense information section. List the first name of the claimant, their birthdate, dependent number, date of service or purchase, type of expense, amount paid, and provider of service.
6. If you wish to include a total claim amount, enter this in the designated field at the end of the expense information section.
7. Review the Member Consent & Declaration section. You need to certify that the provided information is accurate and sign and date the form.
8. Once you have completed the form, ensure that all sections are filled out correctly. Save your changes and prepare to submit your claim.
9. You can choose to download, print, or share the form as needed. Remember to keep copies of your receipts for your records.

Start filling out your Extended Health Care Standard Claim Form - SD 85 online today for a smooth claims process.