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Sometimes a provider will not submit the claim on your behalf. If this occurs, you can submit the claim yourself by following these steps:

  1. Obtain a paid-in-full receipt from the provider that displays CPT/diagnosis code(s), date-of-service(s), amount charged per code, and total amount paid.
  2. Write a letter stating that you (the insured) should be the one reimbursed for the services provided.
  3. Send a copy of your receipt and a copy of your letter to

994 Old Eagle School Rd., Ste. 1005
Wayne, PA 19087