Notification Notification

We have changed our Medicare Supplement payment vendor effective May 22, 2023. If you have questions regarding payments issued before this date, please contact InstaMed Customer Support 866-467-8263 or Support@InstaMed.com. For payments issued on or after May 22, 2023, please contact Zelis Customer Support 877-828-8770 or ClientService@zelispayments.com.

Nested Applications

Claim Forms

To download a form, select the state of coverage and the appropriate form, from options below. All forms are in
Adobe Acrobat PDF format.

 

image You can download forms in pdf format for printing.You will need Adobe Acrobat Reader to download and view a pdf file.If you do not have Adobe Acrobat Reader click here to download a free copy.

 

Welcome to the Online Service Center for Providers

We understand the importance of serving your insurance needs when it matters most. That's why we share access 24/7 to claims forms, policy information and policy change forms, contact information, and much more! 

We have partnered with Zelis to offer Electronic Payment (EFT) and Electronic Remittance & Advice (ERA) for Medicare Supplement products. As an enrolled healthcare provider, you can access processed claim information, receive electronic payments, and manage claims payments.

Enroll today.