Health Insurance Portability and Accountability Act (HIPAA) authorization

When you file a claim online, we automatically ask for your HIPAA authorization.

HIPAA Authorization Form

The HIPAA Authorization Form provides permission for your health care provider or health plan to disclose personal information about you and, if applicable, the dependents on your policy to Colonial Life and our authorized representatives.

Users are prompted for authorization electronically when filing online. However, if you skip authorization and it is later determined that a doctor verification is required to complete our review of your claim, we will first request your approval. To provide approval, download and complete the HIPAA authorization form below.

Can't file online? You can fax your form to 1-800-880-9325 or mail it to P.O. Box 100195, Columbia, SC 29202-3195.