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Web how to submit a claim. Learn more earn your rewards Learn more see what's new take a look at the changes and updates for 2023. 09/21 instructions please complete a separate claim form for each patient, and remember to file all claims by december 31 of the calendar year after the one in which the covered care or service was provided.

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Here are helpful service benefit plan brochures, claim forms, reference guides and videos. Web filling out your claim form account holder information please print or write legibly when completing the account holder first and last name. Need to submit a claim? Send a secure message to fep customer service reps with any claims or enrollment questions.

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