Visitors Insurance Claims Forms
Filing claims when using your visitors insurance is needed to make sure that you are reimbursed for any medical expense paid out-of-pocket. Although some insurance plans will bill the insurance directly (such as INF Plans), most will require you to pay out-of-pocket and file a claim for reimbursement. Sending in the proper paperwork and documentation will expedite the claims and reimbursement process. Below you can find information on how to file claims for your visitors insurance plans:
Download Your Claim FormDownload the claim form for you insurance policy from the list down below & complete it.
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Submit All Your Documents
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Claims PaymentAfter submitting your claims, the insurance company will take between 6 weeks & 90 days to approve the claim and provide you with reimbursement for your medical expenses.
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Claims Resources
Claim form for GLM policiesClaims Office Information: Mail: Administrative Concepts, Inc. (ACI) 994 Old Eagle School Rd., Suite 1005, Wayne, PA 19087-1706 Toll Free: 888-293-9229 (from inside the U.S.) Fax: 610-293-9299 Check Claim Status: Phone: 888-293-9229 Web: http://www.visit-aci.com | EDI Payor#: 22384
Send Claims To: Mail: Claims Department, International Medical Group, P.O. Box 88500, Indianapolis, Indiana 46208-0500 Fax: 317-655-4505 Check Claim Status: Online: Check Status Online Phone: 800-628-4664 or 317-655-4500 Email: [email protected]
Send Claims To Mail: GBG Administrative Services, 26741 Portola Parkway, Suite 1E #527, Foothill Ranch, CA 92610 Phone:877-916-7920 or 949-916-7941 Fax: 251-666-1806 E-mail: [email protected] Check Claim Status: E-mail: [email protected] |
Claim form for SPRO policiesClaims Office Information: WebTPA Claims PO Box 99906, Grapevine, TX 76099-9706 Fax: 469-417-1989 EDI Payor #: 75261 Check Claim Status: Phone: 888-293-9229 Web: http://www.webtpa.com
Send Claims To: Mail: 303 Congressional Boulevard, Carmel, IN 46032 Fax: 317-575-2256 Email: [email protected] Check Claim Status: Online: Check Status Online Phone: 800-335-0477 or 317-575-2656 Email: [email protected] |
Send Claims To: Mail: Member of the Global Group of Companies, 3195 Linwood Rd, Suite 201, Cincinnati, Ohio 45208 Fax: 513-533-9416 Check Claim Status: Phone: 800-513-2981 Email: [email protected]
Send Claims To: Mail: International Claim Department, One Radnor Corporate Center, Suite 100, Radnor, PA 19087 Fax: 610-293-3529 Check Claim Status: Phone: 800-551-0824 or 302-661-4176 Email: [email protected] |
Claims Process FAQs
I paid for my visitors medical care up front. How can I get reimbursed?Simply fill out the claim form & follw their instructions, as well as providing the additional required documentation. Make sure to complete this paperwork carefully to ensure prompt payment.
If my visitor leaves the country will my claims be paid?Yes, on the claims form you need to designate that you will be the one who receives the check from the insurance company, thus ensuring you will be reimbursed for any medical expenses you paid for on the behalf of your visitors.
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I took advantage of "Cashless Claims" - do I still need to file a claim?Yes. We highly advise individuals to file a claim with the insurance company, regardless if they have paid for the medical treatment or not. This creates a record with the insurance company, and will make the process easier in having your claims paid. By not filing a claim, the payment may not go through to the health care provider and thus causing a delay in payment and liability for you.
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