Get Serre Financial

Filling out the Serre Financial form is a straightforward process that requires your attention to detail. This guide will provide you with clear, step-by-step instructions to accurately complete the MedAfford Pre-funded Claim Submission Form online.

Follow the steps to accurately complete your claim submission forms.

1. Click the ‘Get Form’ button to access the claim submission form and open it in your designated editor.
2. In the 'To' section, ensure that 'Serre Financial' is filled in as the recipient of the claim form.
3. In the 'From' section, provide the correct fax number: 1-866-927-0222, so that your submission can be processed efficiently.
4. Complete the 'Pages' field with the total count of pages you are submitting with the form to ensure clarity for processing.
5. In the 'Phone' section, enter the contact number 1-866-927-0111 for any follow-up questions or concerns.
6. Fill in the 'Date' field using the format mm/dd/yyyy to indicate the submission date clearly.
7. In the 'Re' field, specify the contract associated with the claim for accurate record-keeping.
8. In the 'Claimant' section, provide your details accurately to ensure correct identification.
9. Describe your claim clearly in the 'Description' field, detailing the nature of the claim being submitted.
10. Fill in the 'Claim Amount' to specify the total amount being claimed for reimbursement.
11. Enter the 'Date' of the medical services rendered in the mm/dd/yyyy format for each claim listed.
12. Remember to attach copies of the relevant medical receipts that confirm the expenses incurred.
13. Make sure all information is correct, as Serre Financial does not guarantee accuracy for discrepancies in entered data.
14. Sign the form in the provided 'Signature' field to finalize your claim submission.
15. Once completed, you can save changes, download, print, or share the form as needed.

Start completing your Serre Financial claim submission online today for a smooth processing experience.