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- Benefits - GAP
- Can I check my individual account online?
- How can I cover my dependents through a GAP plan?
- How can I obtain an EOB (Explanation of Benefits)?
- How should I submit my Claim Form and supporting documentation to American Fidelity?
- I want to submit a claim for reimbursement. Where can I find these forms?
- What constitutes a qualifying event?
- What does the GAP cover?
- What if I want to drop a dependent?
- What is the GAP Plan?
- What number do I call should I wish to follow up on the fax, or if I have other questions?
- Who administers the GAP Plan?
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How should I submit my Claim Form and supporting documentation to American Fidelity?
The easiest way to file a gap insurance claim is through your online account at Americanfidelity.com or the mobile app, AFmobile. Download American Fideity mobile app from the App Store or Google Play.
When filing a gap insurance claim you will need to provide the following documentation:
- Statement of Insured, completed via online claim filing or paper claim form
- Itemized Bills with diagnosis from each of your providers with a complete breakdown of charges for each date of service
- Explanation of Benefits (EOB) from your primary medical insurance carrier
We may also need:
- Authorization to Disclose Information Including PHI: This form gives American Fidelity authorization to get records from your medical provider(s) and others who may hold information necessary for us to review your claim. Upload the form via your online account, or mail or fax it.