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Claims Made Easy. Your claim is processed ten days faster* when you submit a claim online at www.CombinedInsurance.com/Claims. FILING A CLAIM BY MAIL. Download the claim form. Print all pages of the claim form. Complete all sections of the Claimant Statement.
At Combined Insurance, our mission is to make insurance easy — whether you are selecting a policy, managing your premiums or filing a claim. The forms and documents below will help you get done what you need to do — quickly and easily.
Claims Made Easy. For faster claim payment* please submit your claim online at www.CombinedInsurance.com/Claims. FILING A CLAIM BY MAIL. 1. Download the claim form. 2. Print all six pages of the claim form. 3. Complete the first page of the claim form including Section B or C and Sections D and E.
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26 sie 2024 · Providers can find more information in this October 2020 memo and on our Provider Q&A page. Please use the standard CMS-1500 or UB-04 claims form (or electronic 837P or 837I) when billing My Choice Wisconsin for Medicare and Medicaid services.
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