Submit Your Online Claim Form
Log in to your MyINF Portal & file an online claim form. Navigate to the 'Active Policies' section of the Portal, and click the 'File a Claim' option.
Submit The Following Required Documents:
After submitting your claims, the insurance company will reimburse you for your eligible medical expenses in accordance with the terms, conditions and limitations of your plan, depending on if all the documents are submitted correctly.
Claim Information for INF policies
Claims Office Information:
Mail: Administrative Concepts, Inc. (ACI)
994 Old Eagle School Rd., Suite 1005, Wayne, PA 19087-1706
Toll Free: 888-293-9229 (from inside the U.S.)
Check Claim Status: 888-293-9229
Claim Information for SRPO policies
Claims Office Information:
PO Box 669
Grapevine, TX 76099-0669
Phone: 928-494-0112 | Fax: 469-417-1989
Submit Bills Online: [email protected]
Additional Claims Information
For Policies starting with INF:
All claims must be filed by completing the claim form found above in the Member portal. This form should be completed by the Policy Holder.
This form must be completed ONCE PER SICKNESS OR INJURY. The INF Claims Form for Providers should be completed by the Policy Holder & Providers (Doctors office, Hospitals etc.).
The Policy Holder should complete Section A. Providers should complete Section B of the form. The form can be mailed to the Insurance by the Provider's office or the Policy Holder. Providers can also submit claims online using EDI Pay#: 22384.
For Policies starting with SRPO:
Generally, providers file insurance claim directly with WebTPA. Additionally, all policyholders are required to complete an informational Section of the claim form found in the member portal above.
In the event a provider wishes to collect from policy holder directly, the second section of claim Form found at (or Standard Insurance Claims Form 1500 CMS/HCFA 1500 or UB92/UB04) should be completed by the doctor's office and submitted by policy holder to the Insurance Company for prompt processing.
Failure to do so would delay the claim processing or result in denial of claims by WebTPA.
Claims Process FAQs
I paid for my medical care up front. How can I get reimbursed?
Simply fill out the claim form & follow the instructions, as well as providing the additional required documentation. Make sure to complete this paperwork carefully to ensure prompt payment for eligible expenses incurred.
If I leave the country will my claims be paid?
Yes, eligible claims incurred while coverage is in effect will be paid. On the claims form, you need to designate where to send the check from the insurance company.
I took advantage of "Direct Billing" - do I still need to file a claim?
Yes. We highly advise individuals to file a claim with the insurance company, regardless of whether they have paid for the medical treatment up front. This creates a record with the insurance company, and will assist the claims process. If you do not file a claim, the payment may not go through to the health care provider, causing a delay in payment. This could result in a liability for you.