Report claim

Submit documents for an existing claim

Here you can submit documents for claims. Documents related to daily fees must be submitted via daily fee self-service.

Existing case number

Your case number is included in the email you received when DFIM created your case. Please note that the case number is not included in the initial confirmation email.

Additional information

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Documentation

Attach relevant documentation, such as the initial medical record or other relevant documentation supporting your claim.

Maximum 10 files of 10 MB each. Accepted file formats: pdf, png, jpg, jpeg, doc, docx, xlsx, csv, pptx, txt, rtf

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