File your claim online
When you file online, we do all the work for you. Just tell us what caused your injury, and we’ll figure out which forms of insurance you have and the right one to cover your care. It’s a quicker and simpler way to get the benefits you need.
Here are some helpful tips to guide you through the online process:
- You must complete all sections to ensure quicker processing.
- Be sure to have the following information ready:
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- Your name, date of birth, Social Security number (SSN) and address
- Claimant’s name, date of birth, SSN (if other than primary insured)
- Date of diagnosis
- Primary doctor information and treating doctor (if different)
- Diagnosis from your doctor
- Bills or proof of treatment
- If there was a hospital stay, please include the bill with date/time admitted and date/time discharged or the Hospital Confinement Form.
- If surgery or diagnostic procedure was performed, please include the bill with procedure code or the Surgery/ Diagnostic Procedure Form.
Before you know it, you can start receiving the benefits you need — in less time than filing by paper!
Can't file online?
For a paper form, download, print and fax the completed document to 1-800-880-9325 or mail to P.O. Box 100195, Columbia, SC 29202-3195.