How do I file a claim for Cancer Benefits?

To file a claim for a Diagnostic Test Benefit or a Mammogram Benefit, we must receive:

  1. a completed claim form, and
  2. provider documentation of the Diagnostic Test or Mammogram.

 

The documentation could be an itemized bill or the pathologist, radiologist, or physician's results of the test. The test results must include the patient's name, date of test, type of test, and the provider's name, address, and phone number. To file a claim for services relating to a Positive Diagnosis of Cancer we must receive:

  1. the pathologist's report first confirming the positive diagnosis of cancer, also
  2. a completed claim form,
  3. itemized bills, and
  4. the diagnosis for each itemized bill.

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