Claim Samaritan
Patient Information
Patient's Full Name
Date of Birth
Email Address
Choose Your Samaritan
Klelly
Bill
Insurance Information
Health Insurance Provider
Not Listed Here
Aetna
Cigna
Blue Cross Blue Shield
UnitedHealthcare
Humana
Kaiser Permanente
Anthem
Health Care Service Corporation
Centene Corporation
Molina Healthcare
Insurance Phone Number
Please enter a valid phone number (e.g., +18005235800).
Plan ID
Claim Information
Claim ID
Claim Details
Submit