Bevin Keely, LMP

Insurance Paperwork

Most insurance companies will have a way to submit for out-of-network reimbursement online. Here are some resources:

Premera’s Claim Form

Aetna’s Claim Form Menu

Cigna Claim Form

Regence Claim Form

You will need a billing statement from me to submit along with the form from your insurance company, and many times they will want me to put the ICD-10 code from your prescription on my statement. I can’t diagnose you, so you will need to get that code from someone else.