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Submitting Claims

Have receipts for eligible expenses after the effective date of your plan? Learn how to get reimbursements.

Emergency Health Insurance Plan Claim Form

To submit a claim, you will need to download and complete the form, and ensure the form is signed and dated before submitting to Intrepid 24/7™. Please include any documents to support your claim. You must email your documentation to Intrepid 24/7™ at : intrepid@intrepid247.com.

You must include a copy of the emergency room report and all hospital records if the treatment was received at a hospital. Remember to keep a copy of all documents emailed for your records.

Download the International Emergency Health Insurance Plan Claim Form

Important:

  • All claims must be reported to Intrepid 24/7™ with 30 days of occurrence.
  • Written proof of claim must be submitted to Intrepid 24/7™ within 90 days of occurrence.
  • You are responsible for all fees charged for any supporting documentation.
  • Failure to complete and sign the form in its entirety or submit supporting documentation will delay claim processing.

How to submit claims

  1. Complete a Claim form
    • Download the Claim form
    • Complete the form electronically or print and fill out each section
    • Fill out all required fields
    • Once complete, print completed form, Sign and Date in Pen (all claim forms must be signed and dated to be processed)
  2. Gather your information related to your medical visit
    • Collect all medical reports, documents, ER Tests, Referrals, follow up required; Confirmation of Receipt(s); anything that you received during your appointment
    • Make a clear photocopy of your documents and scan (keep your originals)
  3. Submitting the Claim:
    • Submitting a claim form when intrepid@intrepid247.com has requested that you complete one following a direct billing submitted on your behalf; or
    • Submitting a claim form when you have paid out of pocket for your medical visit.
    • Once your form is completed and applicable documents copied, email them at intrepid@intrepid247.com
  4. Follow up Status:
    • Check your email for follow up documentation from intrepid@intrepid247.com that may be required by the Claims Department to process your claim. They will explain to you exactly what is missing from your submission.
    • Provide any requested information as soon as possible.
    • Call 1.866-883-9485 if you have any questions about your claim or to clarify what else is needed
    • Follow up email: intrepid@intrepid247.com
    • If your claim is denied, an explanation about the exclusion(s) will be provided by email.

Tip* Before leaving the clinic, or medical visit request a copy of your medical records, tests, referrals, follow up or doctors notes that were applicable. This will help in processing your claim, otherwise Studyinsured/Insurer will have to request you to complete an authorization form signed by you to obtain your medical records to process your claim.

Monday-Friday, 8am-6pm EST
Phone: 1-877-746-5566 ext. 7249

Gallivan: Student Health and Wellness