Get Aflac Physician Treatment Summary Form

Proof of Loss: Written proof that is required to be furnished to the insurer about a loss to help determine the extent of insurer liability. Provider: A facility, licensed as such, that provides health services for an individual.

Accidental death - Certified death certificate & beneficiary statement claim form. Police report - Required for MVA and any other occurrence investigated by the police. Physician's office notes. Emergency room - ER or urgent care report.

The UB-04 claim form is used to submit claims for outpatient services by institutional facilities (for example, outpatient departments, Rural Health Clinics and chronic dialysis centers).

Please allow a minimum of 45 days to a maximum of six months for processing. Q. How do I repay my loan? A.

Please print a separate form for each additional family member or call 1-800-99-AFLAC (1-800-992-3522) to request additional forms. Claims for all other benefits covered under this policy must be filed separately using the claim forms available at aflac.com or by calling 1-800-99-AFLAC (1-800-992-3522).

Please print a separate form for each additional family member or call 1-800-99-AFLAC (1-800-992-3522) to request additional forms. Claims for all other benefits covered under this policy must be filed separately using the claim forms available at aflac.com or by calling 1-800-99-AFLAC (1-800-992-3522).

You must be 18 or older to apply for Aflac insurance. Availability varies by product; see your local Aflac agent for details. The out-of-pocket expenses displayed are estimated at 40% of the total medical cost, assuming that average major medical plans cover approximately 60% of the expense.

Log in to your account to check the status of your claim. From there, you'll be able to check claim status, upload additional supporting documents if needed, and view your explanation of benefits. You may also check claim status by chat or phone by calling us at 800.992.3522.