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Get WI EFlex Group Reimbursement Claim Form 2008-2024

Ch expense must be provided. 2740 Ski Lane Madison, WI 53713 (608) 243-8277 Fax: (608) 245-9342 Toll free fax 877-231-1287 1. Complete Reimbursement claim form. Sign the claim form,. 2. Fax your claim form followed by a copy of all supporting documentation including itemized receipts, contract, letter of medical necessity and/ or an explanation of benefits (EOB) to (608) 245-9342, toll free 877-231-1287 or eclaims eflexgroup.com. 3. Keep copies of claim form and documentation submitted to efle.

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