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CLAIMSSUBMISSION

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Download the forms you need:

After visiting the doctor or hospital, you will need to file a claim for each new injury or illness with Point Comfort Group directly. Please follow the claims steps below to file your claim:
  • Complete the correct claims form above with more details about your visit to the doctor.

  • If your claim was the result of an accident, complete the accident questionnaire section of the claims form.

  • Submit copies of any bills, receipts, or claims related documents you’ve received.

  • If you were required to pay out of pocket, you will need to submit an itemized invoice or paid receipt from the doctor showing the diagnosis codes of your treatment.

You can follow up on the status of your claims by contacting PCT directly:
 
Toll-Free: (844) 210-2010

Claims Submission

Your Name*(Required)
Your Email Address(Required)
Let us know if you have any specific comments or questions with this claim.
Submit copies of any bills, receipts, or claims related documents you’ve received
Drop files here or
Accepted file types: pdf, doc, docx, xls, xlsx, jpg, png, Max. file size: 20 MB.
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