Get Supplemental Health Claim Form Filing Instructions - Angus Mcrae

Filing a Supplemental Health Claim can feel overwhelming, but with clear guidance, it becomes manageable. This guide provides step-by-step instructions to help you successfully complete the Supplemental Health Claim Form Filing Instructions - Angus McRae online.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to obtain the document and ensure it is open and ready for editing.
2. On page one, complete the Insured (Employee)‘s Statement of Claim. You must provide your name, policy number, contact information, and date of birth. Ensure that you answer every question completely.
3. In the Claimant section, include the name and relationship to the insured, as well as the claimant's date of birth. Detail the illness or injury you are claiming, including dates and specifics of the incident.
4. Specify the date you first received treatment, and provide the names and addresses of the treating hospitals and doctors. Complete the question regarding whether you have had a similar condition in the past.
5. Proceed to page two and have the Claimant or Authorized Representative sign and date the Authorization to permit your physician to release medical records to Kanawha Insurance Company, a Humana company.
6. On page three, if you are filing a claim within the first year, list all physicians you have seen and medications taken in the last 12 months. Include fax numbers for the providers, if available, to speed up the process.
7. Attach all itemized billing statements from your healthcare provider, which should detail dates of service, diagnoses, and procedure codes.
8. Review the completed form thoroughly. When all sections are filled out correctly, you can save your changes, download the form for your records, print it for submission, or share it as needed.

Complete and submit your Supplemental Health Claim Form online today to ensure timely processing of your benefits.