Cancer Insurance Claims: Documentation Checklist

When filing a cancer insurance claim you will need to provide the following documentation:

• Statement of Insured, completed through your online account or claim form
• Pathology report from first diagnosis of cancer
• Itemized bills with diagnosis from each provider— including a complete breakdown of charges for each date of service
• Prescription drug receipts
• For the transportation benefit, documents showing how many miles you traveled and the date(s) specific to the treatment

We may also need:

• Authorization to Disclose Information Including PHI: This form gives us authorization to get records from your medical provider(s) and others who may hold information necessary for us to review your claim. Upload the form via your online account, or mail or fax it.
• Explanation of Benefits (EOB) from your Major Medical Carrier