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How to File a Claim.
- Check the box (Medica/Vision/Dental) that applies to the type of claim you are filing.
- Each section must be completed (if applicable) in order for your claim to be processed.
- Mail your claim to the address shown on the form.
- If you have any questions, please contact our office at (775) 352-7252 or (800) 455-4236.
The Claim form may be downloaded using the link below.
Downloadable Claim Form (PDF)
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