WebP. O. BOX 1623 Windsor, Ontario N9A 7B3 Attn: EHS Department CUSTOMER SERVICE CENTRE 1-888-711-1119 or (519) 739-1133 Fax (519) 739-0046 Email: WebCLAIM SUBMISSION FORM This form should be used when claiming reimbursement under your Health Care Spending Account, Health Care Expense Account or Health Services Spending Account for eligible expenses which are not covered (or not covered in full) by your Health or Dental Plan. Date of Birth Green Shield I.D. # Alternate I.D. # / / …
Make Health, Dental or Vision Claim - University of Toronto …
WebAfter you have registered for Plan Member Online Services, select “Submit a Claim” from the menu. Select the type of claim you are submitting. Enter your complete claim details and click Submit. Note: If you or your spouse have other coverage with GSC, you can coordinate your claim with the other GSC plan right at the time of online submission. WebCLAIM SUBMISSION FORM This form should be used when claiming reimbursement under your Health Care Spending Account, Health Care Expense Account or Health … green chalcedony crystal meaning
Get Canada GSC General Claim Submission Form 2015-2024 - US Legal Forms
WebCUSTOMER SERVICE CENTRE 1-888-711-1119 or (519) 739-1133 greenshield.ca General Claim Submission Form EN (2015-02) GCLMS. GREEN SHIELD CANADA … WebWhere do I send the additional supporting documents? Additional supporting documentation can be uploaded via your online account by following the simple steps … WebA handy claims submission checklist can be found here: greenshield.ca>Plan Members>Benefits Dictionary>Extended ... A completed General Claim Submission Form A completed preauthorization form An itemized receipt showing the date of pick up and that the payment was made in full ... green chalice congregation