Group Enrollment/Change Form
Group Enrollment/Change Form (Spanish)
Group Medical Claim Form
Group Dental Claim Form
Group Vision Claim Form
FSA / Flex Benefits Forms
Flexible Benefits Enrollment/Change Form
Flexible Benefits Plan Claim Form
HRA Claim Form
HRA Enrollment/Change Form
Authorization to Obtain Records
Authorization to Obtain Medical Records (Spanish)
Claims - Pre Cert Form
Claims - Request for Accident Details
Claims - Request for Accident Information (Spanish)
Claims - Request for Other Insurance Information
Claims - Request for Other Insurance Information (Spanish)
Claims - Request for Primary EOB/Secondary EOB
Request for HIPAA Certificate
Request for HIPAA Certificate (Spanish)
Health Risk Assessment
Health Risk Assessment (Spanish)
Sample Explanation Of Benefits
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HealthComp's Online Eligibility, Open Enrollment and Claims Inquiry System.
Online applications, including HCReporting.
HealthComp's Online Flexible Spending Account Site. For additional information contact your Employer.
A listing of provider directories.
Provider Claim Search
Secure provider search for claim status.
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Mailing Address: P.O. Box 45018, Fresno, CA 93718-5018
Phone: (800)442-7247 Fax: (559)499-2464