To pursue a claim, use the Claims Form below and follow the instructions on the form. Please read all instructions below before completing this form.Please send this request to the issuer from whom you are seeking authorization. Complete a certificate of insurance. Fill out the insurance form that matches the type of service you provide. The fastest way to get help with an insurance question. Call our Help Line at 800-252-3439. Mail your documents to: CAQH. Forms to apply for benefits ; Form to apply for: (1) Medicaid or CHIP, or (2) help paying for private health insurance (H1205). For more information about coverage options, call 210-358-3350 or fill out the Contact Us form.