Upload Claims or Reports

Don’t have a claim document? Download our quick claims form
Please use this form to securely upload claim files or reports to our server.

  • Please use this form to securely upload claim files or reports to our server.
  • Drop files here or
    Accepted file types: jpg, gif, png, pdf, bmp, jpeg, xls, xlsx, Max. file size: 8 MB.
    • This field is for validation purposes and should be left unchanged.

    Prefer a live person?

    1-888-996-0650

    Get support on the phone
    Mon-Fri | 8am to 5pm CST

    Contact Us

    Assist Health Group
    2100 Valley View Ln,
    Suite #490,
    Farmers Branch, TX 75234

    Phone : (888) 996-0650
    Fax : (855) 345-5222
    Hours : Mon-Fri 8-5pm (CST)

    More Contact Information >

    Upload Claims or Reports

    Don’t have a claim document? Download our quick claims form
    Please use this form to securely upload claim files or reports to our server.

    • Please use this form to securely upload claim files or reports to our server.
    • Drop files here or
      Accepted file types: jpg, gif, png, pdf, bmp, jpeg, xls, xlsx, Max. file size: 8 MB.
      • This field is for validation purposes and should be left unchanged.

      Prefer a live person?

      1-888-996-0650

      Get support on the phone
      Mon-Fri | 8am to 5pm CST

      Contact Us

      Assist Health Group
      2100 Valley View Ln,
      Suite #490,
      Farmers Branch, TX 75234

      Phone : (888) 996-0650
      Fax : (855) 345-5222
      Hours : Mon-Fri 8-5pm (CST)

      More Contact Information >

      Upload Claims or Reports

      Prefer a live person?

      1-888-996-0650

      Get support on the phone
      Mon-Fri | 8am to 5pm CST

      Contact Us

      Assist Health Group
      2100 Valley View Ln,
      Suite #490,
      Farmers Branch, TX 75234

      Phone : (888) 996-0650

      Fax : (855) 345-5222

      Hours : Mon-Fri 8-5pm (CST)

      More Contact Information >

      Don’t have a claim document? Download our quick claims form
      Please use this form to securely upload claim files or reports to our server.

      • Please use this form to securely upload claim files or reports to our server.
      • Drop files here or
        Accepted file types: jpg, gif, png, pdf, bmp, jpeg, xls, xlsx, Max. file size: 8 MB.
        • This field is for validation purposes and should be left unchanged.