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Due to planned OnBoard maintenance occurring between 3:00 a.m. to 6:00 a.m. ET on Monday, July 29, 2024, email and text notifications may not be generated during this period. Please check your dashboards for prior authorization requests (PARs) and PAR responses submitted during this period. All other functionality will be working, including updates to the electronic case folders in eCase.

Web Submission of Claim Forms - Adobe Format Adding Attachments

Web Submission of Claim Forms - Adobe Format

Select the paper clip icon on the left of side of the page.

Select the Add icon.

Paperclip on left side and Add button in menu

Select the file that should accompany this form and then select the "Open" button.

Find file to attach to form

The file(s) should appear in the attachment box below the form.

Example of Attachment

Example of attached file

Attachment File Types Accepted: