First off, let’s define claim. A “claim” is basically a receipt from a doctor visit, a treatment, or a prescription drug purchase
Usually your provider or pharmacy will bill your insurance company directly, especially if you see an in-network provider. In this case, you will rarely have to file a claim yourself.
If you paid your bill in full directly and need to request a reimbursement, you will need to complete a claim form and mail it to your insurance company with a copy of your itemized medical bill and any additional supporting documentation requested.
You can download claims forms here. If you have questions about how to fill out the forms, please contact your insurance company directly by calling the number of the back of your insurance card and/or the claims form:
- Kaiser: https://healthy.kaiserpermanente.org/static/health/en-us/pdfs/cal/emergency_claim.pdf
- Anthem: http://www.anthem.com/ca/member/f4/s2/t1/pw_a120232.pdf?refer=member
- Blue Shield of California: https://www.blueshieldca.com/sites/uc/documents/Claim-Form-C12133-emp.pdf
- Health Net: https://www.healthnet.com/static/general/unprotected/pdfs/national/comm_claim_form_eng.pdf
- Cigna: http://www.cigna.com/assets/docs/privacy-notices-and-forms/forms_medical_claim_form.pdf
- CCHP: We're still tracking this one down. If you need it, send us a note.