How to File a Claim for the Hospital Shield Product

Need to file a claim for the Hospital Shield product? You've landed on the right page! We understand that this might be a challenging time for you, and we're here to make the claim process as seamless and straightforward as possible.

To ensure that your claim is processed quickly and accurately, follow the simple steps below:

Step-by-Step Claim Filing Process

01 Download and Complete the Claim Form

Click here to download the Claim Form (PSGHI 0823). Please make sure to fill out all sections accurately to avoid any delays.

02 Obtain a Physician’s Statement

This is a written statement from your doctor detailing your medical condition and treatment. Make sure it's updated and signed.

03 Provide an Explanation of Benefits (EOB)

The EOB is a document from your health insurance company that explains what part of your medical expenses they paid and what part, if any, you're responsible for. If you're unsure where to find this, contact your insurance provider.

04 Submit an Itemized Hospital Bill or Relevant Form

We'll need a detailed breakdown of the services you received. This can be in the form of an Itemized Hospital Bill, HCFA 1500, or UB-04 form. Ensure it has all charges listed individually.

Submitting Your Claim

Once you've compiled all the necessary documents, you can upload them to the secure portal below or send them to our claim processing address.

Please submit all claims documentation using one of the following options:

Secure Upload: Click here

Mail: P.O. Box 540217 Omaha, NE 68154

Need Assistance?

If you have questions or need assistance at any step, don't hesitate to reach out to our dedicated claims customer service team. You can contact us at 866-725-0777 or send us an email at HospitalShieldClaims@arkgroup.com

We're here to support you every step of the way.

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