Forms

Find commonly used forms and documents

View the links below to find forms you can download, making it quicker to take action on claims, reimbursements and more. 

If you can’t find the form or document you’re looking for below, sign in to your member site to find more.

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Looking for reimbursement forms for over-the-counter (OTC) at-home COVID-19 tests?

Reimbursement details and forms will vary, depending on your plan. Sign in to your health plan account to find the correct form for your specific health plan. Learn more about OTC at-home COVID-19 testing.

 

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Reimbursement and claim forms

Tax, legal and appeals forms

Plan and state specific forms