Remittance Requests

If you have questions regarding payments to your pharmacy, would like to check on the status of a claim, or need a copy of an explanation of benefits/remittance or a check, simply complete the appropriate form.

Check Copy Request
When you need a copy of a check, just let us know and we'll send it to you.

Copy Request
Has your copy of an explanation of benefits/remittance form been misplaced? No problem. We can get you another copy.

Claim Status Request
If you're wondering about the standing of a claim, ask us. We can tell you if it's been paid.