Submit a health insurance or managed care claim

If you have health insurance through your employer, or if you have an individual policy, we can help you by submitting your insurance claim on your behalf.

Each insurance carrier has their own filing time limits, so please provide this information as soon as possible.

Please provide the following information so that we can submit your insurance claim:

* indicates a required field

Patient information


Insurance information

Primary insurance coverage


Secondary insurance coverage


Contact information


If you have questions about your insurance carrier information, please contact the human resources department at your workplace.

If you have already submitted a claim and it has not yet been paid, please your insurance provider.

Additional Requirements From Your Insurance Provider

Your insurance provider may require you to provide a claim form or additional information before your claim is paid.

Managed care insurance companies (HMOs) may require authorization for services, including emergency services.

If you have questions about insurance coverage or filing requirements, please contact your carrier.

(888) 214-4065

Call for help

For help submitting an insurance claim, call the Financial Assistance Unit.

Changing what to expect

from health insurance

See how CareConnect is making it easy for people to get and stay healthy.