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Medical member claims submission

A covered person or an authorized representative can submit written proof of any service, supply, prescription drug, test, equipment or other treatment up to 180 days after the service. In most cases, the healthcare provider will file claims directly with us for services provided to our members. When that does not occur, a member may submit the claim directly to us. You will need:

  1. Written proof of services
  2. A metallic medical claim form from the Members Forms page

Send both documents via mail or email to:

Claims Division
Post Office Box 8069
Little Rock, Arkansas 72203

Exchange Customer Service

Important: Your submission may be returned if it does not comply with our filing and coding policies and procedures. You may request a copy of the claim coding policies and procedures from us or the service provider. For more information, contact customer service at 800-800-4298.