GAP Insurance Claims: What Documents Are Needed?

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

• Statement of Insured, completed via online claim filing or paper claim form
• Itemized Bills with diagnosis from each of your providers with a complete breakdown of charges for each date of service
• Explanation of Benefits (EOB) from your primary medical insurance carrier

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, mail it in, or fax it.

TIP: When filing a claim, be specific about the diagnosis or condition that caused you to seek treatment. Simply putting "accident" or "illness" is too broad. Providing specifics will help avoid potential processing delays.