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Health Tradition
Home
Providers
  • Information Requests
  • Submitting Claims
  • Provider Manual
  • Provider Contact Us
  • Provider News
Members
  • Information Requests
  • Plans and Policies
  • Member Contact Us
  • Forms
Secure File Upload
Contact Us
More
  • Home
  • Providers
    • Information Requests
    • Submitting Claims
    • Provider Manual
    • Provider Contact Us
    • Provider News
  • Members
    • Information Requests
    • Plans and Policies
    • Member Contact Us
    • Forms
  • Secure File Upload
  • Contact Us
  • Home
  • Providers
    • Information Requests
    • Submitting Claims
    • Provider Manual
    • Provider Contact Us
    • Provider News
  • Members
    • Information Requests
    • Plans and Policies
    • Member Contact Us
    • Forms
  • Secure File Upload
  • Contact Us

Forms

Change Your Communication Preferences (pdf)Download
Member Reimbursement Claim Form (pdf)Download
COVID-19 Test Reimbursement Claim Form (pdf)Download
International Claim Form (pdf)Download
MedImpact Claim Form (pdf)Download
Designation of an Insurance Representative (pdf)Download
End Authorization to Designate Insurance Representative (pdf)Download
Request Your Health Information (pdf)Download
Grievance Procedure (pdf)Download
Authorization to Share Health Information with a Third Party (pdf)Download

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