Claims History Requests
Request Claims Histories & Loss Runs Here
If you are working on an application or credentialing with a hospital or medical center, you may need a claims history or loss run.
If you are in need of either of these reports, you can either submit the request form below, or contact our office directly to speak with the service specialist on your account.
If you need to send additional documents, please complete the authorization form and send the additional documents to firstname.lastname@example.org.