Claims Submission

After visiting a doctor's office or hospital, file a claim with Point Comfort for each new illness or injury.

Please follow these steps below:

IMPORTANTDOCUMENTS

Download 'Claimant Statement and Authorization Form'

CSA Form

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 CSA Form plus any other relevant forms, bills, receipts, or claims-related documents.
Drop files here or
Accepted file types: pdf, doc, docx, xls, xlsx, jpg, png, Max. file size: 20 MB.
    Terms and Conditions(Required)

    If you need to follow up with Point Comfort directly:

    Phone Calls from Within the U.S. 833-483-0001
    Collect International Calls: +1 (317) 210-2010