To enroll and submit a claim via the portal, you will need:
To submit a claim via mail, you will need:
Please note: You may only submit a claim if you have commercial insurance and you are not a participant of Medicare Part B, Medicare Part D, Medicaid, Medigap, VA, CHAMPUS, TriCare or other similar federal or state program.
Instructions for submitting your claim through mail or fax can be found on the Contact Us page.