Accident / Health / Physician Expense Claim Filing Instructions
Submitting an Accident, Health or Physician Expense Claim:
Please send a copy of the UB-04 (from Hospital) or the 1500 health insurance claim form (from Doctors office) and any itemized medical bills you would like to have considered for payment. These forms are completed by and obtained from the provider in which the treatment was sought. The form numbers can be found at the bottom of the form. The following examples are for illustration only.
Please mail the completed documentation to the following address:
Insurance Services Division
PO Box 8076
McKinney, TX 75070
Please note: If at any time during the review of your claim we find that we need additional information via medical narratives or a police report etc., we will notify you in writing.
The benefit for an accidental bodily injury is payable to an insured as long as the treatment is received as defined by your policy from a qualified institution as defined by the policy. ALWAYS REFER BACK TO YOUR POLICY FOR FURTHER INFORMATION REGARDING BENEFIT QUALIFICATIONS.
If you have questions or need assistance with filing your claim, please contact our Customer Service Department: