Good Forms 101: The Cancer Claim Form
Filing insurance claims may feel like a confusing or stressful (or both) process for you and your employees, but it doesn’t have to be.
As part of an ongoing series to address common questions about claim forms, here are some solutions for frequently asked questions we hear from employers and employees regarding the cancer claim form.
Question #1: What’s the quickest way to file or check on my claim?
Online! You can file your claim online or through AFmobile®, our mobile app. You can also check claim status, sign up for notifications, enroll in direct deposit, view policy information, and more. Log in or register for your online account.
Question #2: What do I need to include when filing a cancer claim form?
- A copy of the pathology report from the initial procedure that resulted in the cancer diagnosis. This allows us to confirm the diagnosis and assists in determining payable claims. Note: Additional pathology reports may be requested for surgical procedures. Usually this report is obtained from the surgeon who performed the surgery.
- A copy of the itemized bills from each of your providers. This is important! Some of your benefits may be based on the billed amount. And for multiple services, there may be multiple providers who each have separate, itemized bills. For example, the surgeon will have a bill separate from the hospital, the oncologist will have a bill separate from the facility where services were provided, etc.
- Some states and specific policy variations (such as C3, C4, C5, or C11) require that you also submit additional documentation. Please refer to the Special Instructions section on the first page of your cancer claim to determine if these requirements apply to you.
Question #3: Do I *really* need to fill this part out?
We get it, filling out your name and date of birth can seem tedious, especially if you’ve filed a claim before. However, missing information not only delays processing, but also affects how we determine the benefit amount. This information also helps us make sure our records are up to date! Here’s why these parts are important:
Statement of Insured:
This is needed to ensure we have updated contact information.
Patient Information:
This section helps us determine who the claim is for, the diagnosis or condition being claimed, and the date of the first treatment.
What do I need to do to enroll in direct deposit?
The first page of the claim form includes a section for direct deposit authorization information, but the easiest way to enroll in direct deposit is through your online account. By adding your bank account information, you can ensure benefit payments are deposited directly into your account on file.
If you’re signing up for direct deposit via the form, simply ensure all the information in the section below is completed.
These are just a few of the common questions we hear. You can find more helpful questions/answers and other resources on the cancer insurance support page. Your dedicated account manager can always help with questions too!
This blog is up to date as of February 2020 and has not been updated for changes in the law, administration or current events.
