INF Claims Form
Filing claims when using your insurance is needed to make sure that you are reimbursed for any eligible medical expense paid out-of-pocket. Although INF allows direct billing, it is highly advised for plan members to submit a claim form anytime they use their insurance, regardless of whether you have paid out-of-pocket. Sending in the proper paperwork and documentation may help expedite the claims and reimbursement process. Below you can find information on how to file claims for International Visitors Accident and Sickness Insurance plans:
Submit Your Online
Claim Form
Submit Your Online
Claim Form
Log in to your MyINF Portal & file an online claim form. Navigate to the 'Active Policies' section of the Portal, and click the 'File a Claim' option.
Submit The Following
Required Documents
Submit The Following
Required Documents
- Completed Claim Form
- Copy of all Medical Bills & Itemized Receipts
Claims Payment
Claims Payment
After submitting your claims, the insurance company will reimburse you for your eligible medical expenses in accordance with the terms, conditions and limitations of your plan, depending on if all the documents are submitted correctly.
Claims Office Information:
Mail: Administrative Concepts, Inc. (ACI)
PO Box 4000; Collegeville, PA 19426
Toll Free: 888-293-9229 (from inside the U.S.)
Fax: 610-293-9299
Check Claim Status: 888-293-9229
Submit Bills Online: aciclaims@visit-aci.com
Web: http://www.visit-aci.comEDI Payor#: 22384
Claims Office Information:
WebTPA
PO Box 669
Grapevine, TX 76099-0669
Phone: 928-494-0112
Fax: 469-417-1989
Additional Claims Information
All claims must be filed by completing the claim form found above in the Plan Member portal. This form should be completed by the Insured.
This form must be completed ONCE PER SICKNESS OR INJURY. The INF Claims Form for Providers should be completed by the Insured & Providers (Doctors office, Hospitals etc.).
The Insured should complete Section A. Providers should complete Section B of the form. The form can be mailed to the Insurance by the Provider's office or the Insured. Providers can also submit claims online using EDI Pay#: 22384.
Claims Process FAQs
Simply fill out the claim form & follow the instructions, as well as providing the additional required documentation. Make sure to complete this paperwork carefully to ensure prompt payment for eligible expenses incurred.
Yes. We highly advise individuals to file a claim with the insurance company, regardless of whether they have paid for the medical treatment up front. This creates a record with the insurance company, and will assist the claims process. If you do not file a claim, the payment may not go through to the health care provider, causing a delay in payment. This could result in a liability for you.
Yes, eligible claims incurred while coverage is in effect will be paid. On the claims form, you need to designate where to send the check from the insurance company.
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