Aflac Claims Forms Hospital
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People also ask
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What hospital form does Aflac need?
Itemized hospital bill (IHB). UB04 (itemized hospital bill). ER visit. (Please obtain the supporting documents for the corresponding benefit.) -
What documents does Aflac need to submit a claim?
Please submit required medical documentation for the specific covered critical illness, the claimant's birth certificate, a list of the names of all doctors and hospitals in the appropriate section, as well as a signed and dated Authorization for Disclosure of Health Information (HIPAA form). -
How do I file an Aflac hospital claim?
Send to: Phone:(800) 433-3036. Fax:(866) 849-2970. Email: groupclaimfiling@aflac.com. -
Where to fax Aflac claim forms?
Fax this form to 1-877-442-3522 or return the form to Aflac, Attn: Claims Department, Worldwide Headquarters, 1932 Wynnton Road, Columbus, GA 31999, as soon as possible in order to expedite claim review. -
Who uses UB-04 claim form?
The UB-04 (CMS-1450) form is the claim form for institutional facilities such as hospitals or outpatient facilities. This would include things like surgery, radiology, laboratory, or other facility services. -
What hospital form does Aflac need?
Itemized hospital bill (IHB). UB04 (itemized hospital bill). ER visit. (Please obtain the supporting documents for the corresponding benefit.) -
What is a UB 04 form for Aflac?
The UB-04 claim form is used to submit claims for outpatient services by institutional facilities (for example, outpatient departments, Rural Health Clinics and chronic dialysis centers). -
How do I file a claim online with Aflac?
Simply log in to your account at aflac.com/myaflac. Or download the MyAflac® app to your mobile device. Step 3: Then go to “File a Claim” and follow the steps. -
What is proof of loss for Aflac?
Proof of Loss: Written proof that is required to be furnished to the insurer about a loss to help determine the extent of insurer liability. Provider: A facility, licensed as such, that provides health services for an individual. -
How do I get claim forms from Aflac?
Please print a separate form for each additional family member or call 1-800-99-AFLAC (1-800-992-3522) to request additional forms. Claims for all other benefits covered under this policy must be filed separately using the claim forms available at aflac.com or by calling 1-800-99-AFLAC (1-800-992-3522). -
Can you email claim forms to Aflac?
You may also fax your claim form to our claims department at 866.849. 2970 or scan and email your claim form to groupclaimfiling@aflac.com.
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