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Find out how to file a claim for your Aflac Group insurance plan online, by fax, or by mail. Download the claim forms for different types of coverage, such as wellness, accident, critical illness, hospital, and more.
ACCIDENT CLAIM FORM INSTRUCTIONS. To avoid delays in processing of your claim form, complete each section, attaching documentation below when it applies. Primary medical insurance EOBs alone do not contain the required information to process a claim.
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Aflac offers online claims process for individuals and families with fast payment and easy access. You can also download forms, learn filing requirements, and appeal claims decisions.
Customer Service. The File a Claim button takes you to the right claim forms. To make changes to your certificate, click on the Service Requests button. The Frequently Asked Questions section helps you find important information about your certificate.
Note: This form is for initial filing of a disability claim. If your disability is being extended, you will need to complete the listed Supplemental Claim form.
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CRITICAL ILLNESS CLAIM FORM. Please review your policy for specific benefits covered under your plan. To prevent processing delays, please have claim form completed in full and return the signed HIPAA. Please submit medical documentation from your healthcare provider to support your claim.
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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). CW061999. Page 1 of 2 02/14.
