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Claim Information


Available Claim Forms

To submit a claim use one of the appropriate links below. If none are available for your particular claim, please contact us directly.

  • Aetna
  • America First
  • Blue Cross Blue Shield
  • Encompass
  • MetLife
  • Nationwide
  • Progressive
Toll Free: (800) 899-0000 |Local: (765) 284-4443|Fax: (765) 287-2480 1019 W Jackson St|Muncie, IN 47305
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