|
|
Accident Claims
To file an accident claim, please complete the appropriate claim form and follow the guidelines below:
Accident Claims (Form S-00198)
- Include an authorization signed and dated by the patient with every claim.
- Have the patient complete and sign Section A: Patient Information.
- Have your physician complete and sign Section B: Physician's Information.
- For motor vehicle accidents, include:
- A copy of the police report
- A copy of the blood alcohol report or drug screening if the patient was tested for alcohol or drugs
- A certified copy of the death certificate if the patient is deceased
|
|
Aflac Toll-Free
1-800-99-AFLAC (1-800-992-3522)
|
|
