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Make a Claim


Who to contact in the event of a claim


All non-emergency claims should be notified to the Claims Administrators for asssitance or to submit a self-paid expense claim for reimbursement consideration: 

Email: tpaclaims@oncallinternational.com 
or contact:
On Call International 
11 Manor Parkway, Salem, NH, 03079
Tel: 603-328-1300 Fax: 603-328-1770
www.oncallinternational.com

 

Claims should be processed within 10 business days of receiving a claim form completed in accordance with claims provisions. 

proof of claim 


When the claims handler received notice of your claim, they will provide you with forms for filing Proof of Claim. The following is considered to be Proof of Claim: 
  • A completed and signed Claimant’s Statement and Authorization Form
  • Original itemized bills from Physicians, Hospitals and other medical providers
  • Original receipts for any expenses which have already been paid by or on your behalf 


IMPORTANT REMINDERS:


  • All claims must be accompanied by original receipts and the original claim form

  • Time to Submit a Claim:  You shall submit Proof of Claim to the Claims Handler as soon as reasonably possible after receiving the forms for filing Proof of Claim from them but in any event no later than 60 days beginning on the date of receipt of such forms.

  • Please take copies or scans of ALL documents and receipts before submitting your claim



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