FREE 47+ Claim Forms in PDF

It is no frills in our daily states of affairs that we run into incidents that call for us to request a certain amount of money from an individual or an organization for payment we ought to receive.

It is no frills in our daily states of affairs that we run into incidents that call for us to request a certain amount of money from an individual or an organization for payment we ought to receive.

It is crucial that we first secure supporting facts that give rise to a legally enforceable right for us to demand compensation or relief. The manner of asserting our right to demand relief is more widely known as the act of making a claim—the entire process legally requires completing a claim form.

Quitclaim Forms

Quitclaim Deed Form Sample

Accident and Sickness Claim Form

Blank Quit Claim Deed Form

Dental Claim Forms

Standard Dental Insurance Claim Form

Dental Billing Claim Form

Dental Plan Claim Form

Member Dental Claim Form

What Is a Health Insurance Claim Form?

In the event when patients’ health-care provider is unable to file on their behalf, for a medical reimbursement or a direct co-payment from their Health Maintenance Organization/Medical Insurance provider for the health-care services they have obtained, patients can personally complete and send in the paperwork themselves by filling out an insurance claim form. An insurance claim form in most cases is already provided for, available for download from the medical insurance company’s website.

To give you an idea of how a health insurance claim form looks like so you can acquaint yourself with the important items and specific information you need to supply, you may check and download a sample form template along with other various types of Claim Forms in PDF and Word formats.

Why Are Claim Forms Delayed or Rejected?

• If you provided wrong medical information in which you may have intentionally excluded to disclose any medical condition, treatment, hospitalization you have had in your medical history.
• When you wrongly give out any information when asked to disclose about your lifestyle, income details, and other policy required details. For instance indicating otherwise when you’re a smoker.
• Claims filed for a policy no longer in effect, when premium payments are skipped resulting to a lapsed policy.
• Any delays in claims filing or failure to meet specific time window allowed for a claim to be made; for instance, late filing of Medicare Claim Forms.
• Failure to update nomination details providing incorrect details of your policy nominee. For instance not having to update your policy to “married” from your single status when you should have put either your spouse or kids as your beneficiary.
• Failure to thoroughly review policy terms and conditions, policy details—must be error-free and contain a complete up-to-date information.

Expenses Claim Forms

Expenses Tax Claim Form

Funeral Expenses Claim Form

Jury Service Expenses Claim Form

Medical Expense Reimbursement Claim Form

Claim of Lien Forms

Notice of Claim of Lien Form

Claim of Builders Lien Form

Claim of Mechanic’s Lien Form

Claim Release Forms

Claim and Release Form Sample

Memorial Release and Quit Claim Form

Legal Claim Release Form

Claim Release Form Sample

Three Major Advantages of Electronic Claim Forms

Aside from the traditional manual paper claims in which claim forms are typically sent through snail mail, a more advanced claims submission medium may now be utilized by means of electronic claims. An electronic claim form is a paperless claim form generated digitally by a computer software and electronically transmitted over a network connection or telephone to a particular payer for payment processing. Check our sample Claim Forms in PDF for your reference.

Here are three major advantages of using electronic claim forms:

• Cost effectiveness with low operational cost. Filing electronic claims significantly reduce cost as opposed to the traditional paper claims. With claims being sent electronically, sending paper claims over through postal mail is no longer necessary. It saves medical insurance offices unneeded storage and postage expenditures. In most cases, companies automatically send a receipt notification message as soon as the claim is received online—this prevents any chances of the claims being lost.
• Significantly reduces overall claims processing time. With electronic claims submission, real-time transmission of claims is completed almost instantaneously. This results in faster turnaround time for payer’s claims processing as responses are made more quickly. This also expedites potential payment time frame.
• Provides fewer resubmissions and claim rejections. Electronic claims can already pre-audit claim fields for potential missing information and errors automatically before submission. Claims transmission vendors, clearinghouses, or billing services can pre-identify claim issues enabling quicker claim resolutions online even before payer claim processing. Checking for accuracy prior to payer submission doesn’t only expedite processing but also reduces claim payment denials and payment delays.

Medical Claim Forms

Medical Disability Claim Form

Mutual Medical Claim Form

Medical Cost Claim Form

Medical Provider Claim Form

Mileage Claim Forms

Monthly Car Mileage Claim Form

Mileage Expenses Claim Form

Mileage Allowance Claim Form

Business Mileage Claim Form

Insurance Claim Forms

Motor Insurance Claim Form

National Insurance Accident Claim Form

Oriental Insurance Claim Form

TV Claim Forms

TV Advertisement Claim Form

TV Rebate Claim Form

TV Licence Payment Claim Form

What Is a Universal Claim Form?

A universal claim form, or most popularly known as Form CMS-1500, is the official health insurance claim form utilized by all licensed U.S. health-care providers in order to bill all medical insurance organizations, which include Medicaid, Blue Cross, and Medicare. Also previously known as HCFA 1500, the CMS 1500 or the universal claim form was developed to make the medical insurance claims process universally more efficient and simpler. It comprises two major sections with 33 separate blocks.

How to Fill Out a Medicare Claim Form?

Fill in certain items exactly as shown on your Medicare Card.

• Enter your complete name in block-1.
• Print your Health Insurance Claim # with the letter at the end in block-2, check the appropriate box for patient’s sex.
• Print your complete mailing address in block-3 and your telephone number in block-3b.
• Describe the medical condition that you obtained treatment for in block-4. Check appropriate boxes in blocks-4b and c.
• If you are 65 years/older with an active health insurance policy where you are presently working, fill out block-5a.
• If the one presently working is your spouse, fill out block-5b.
• If you have other active medical coverage Medicare aside, fill in block-5c including your Policy Number. You may check the box if you wish not to release claim payment info to the insurer.
• Be sure to sign and put your complete name in block-6, and date your completion of the form in 6b.

Travel Claim Forms

Travel Insurance Claim Form

Travel Insurance Claim Form Sample

Travel Claim Form Sample

Travel Assistance Claim Form

Universal Claim Forms

Employee Universal Claim Form

Universal Compound Claim Form

Universal Patient Claim Form

Universal Claim Reimbursement Form

Blank Claim Forms

Blank Proof of Claim Form

Blank Medical Claim Form

Blank Dental Claim Form

Blank Claim Notification Form

Printable Claim Forms

Printable Child Benefit Claim Form

Printable Medicare Claim Form

Printable Fedex Claim Form

Guidelines for Submitting Claim Forms

• Prior to filling out any claim form, make sure to thoroughly review all policy details, insurance coverage, its terms and conditions. Be sure you don’t skip or forget to pay premiums so the policy won’t lapse and remains current. Always keep policy information and nomination details up-to-date.
• Services obtained must meet policy conditions and eligible for coverage.
• Make sure to always secure proper pre-authorization for any services and benefits you’re filing claims for.
• Always provide your complete and correct medical information. Don’t conceal any medical treatment, preexisting condition, hospitalization you have in your medical history.
• Be sure to send the completed and correct claim form along with your itemized bill, and any supporting documents to the appropriate address in a timely manner. Always meet the specific time window allowed for claim submissions.

 

Also check out Aflac Claim Forms, Pension Service Claim Form.