Get General Claim Submission Form - Ihaveaplan

Filing a claim can seem complex, but this guide will help you fill out the GENERAL CLAIM SUBMISSION FORM - Ihaveaplan with ease. Follow the step-by-step instructions to ensure you provide all necessary information accurately.

Follow the steps to complete your claim submission form successfully.

1. Click ‘Get Form’ button to obtain the claim submission form and open it in your preferred editor.
2. Section 1 - Plan member information: Fill in your email address, Green Shield Canada ID number, surname, first name, phone number, address, company name, city, province, and postal code. Ensure all details are accurate to avoid processing delays.
3. Section 2 - Mandatory declaration: Answer the questions about other insurance coverage, coordination with Green Shield Canada, and any related injuries. If applicable, provide dates and insurance details.
4. Section 3 - Claim details: Enter the patient’s name and date of birth. Provide the professional or supplier's name, date of claim, type of expense, total amount charged per visit or item, and the total claimed. Be sure to include any necessary details for prescription drug claims.
5. Section 4 - Authorization: Sign and date the form to confirm that the information provided is complete and accurate. By signing, you authorize the use of information for claims processing.
6. Section 5 - Mailing instructions: Review the claim submission instructions carefully. Ensure all original documentation is attached and retain copies for your records. Send the completed form to the appropriate address based on the claim type.
7. Once all fields are filled out, save any changes made to the form. You can then download, print, or share the completed form as needed.

Start your claim submission process online today!