Member Services: 1-800-595-0619

CORONAVIRUS/COVID-19: Access important information and updates
Members: You can now sign up for the member portal and access your healthcare data.
Providers: We are excited to announce the launch of our new Provider Portal. For access, please fill out our web portal application here.
CORONAVIRUS/COVID-19: Access important information and updates
Members: You can now sign up for the member portal and access your healthcare data.
Providers: We are excited to announce the launch of our new Provider Portal. For access, please fill out our web portal application here.
Enroll
CORONAVIRUS/COVID-19: Access important information and updates
Members: You can now sign up for the member portal and access your healthcare data.
Providers: We are excited to announce the launch of our new Provider Portal. For access, please fill out our web portal application here.

Non-Discrimination Disclaimer

Imperial Insurance Companies, Inc. (HMO) complies with applicable Federal civil rights laws and does not discriminate based on race, color, national origin, age, disability, or sex.

ATTENTION:  If you do not speak English, language assistance services, free of charge, are available to you. Call 1-800-595-0619 (TTY: 711).

Imperial Insurance Companies (HMO) cumple con las leyes federales de derechos civiles aplicables y no discrimina por cuestiones de raza, color, nacionalidad, edad, discapacidad o género.

ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-800-595-0619 (TTY: 711).

When submitting a claim for a covered service, please submit a written request with the following information:

  • Date of service
  • Provider/office name
  • Diagnosis code
  • CPT/HCPCS/REV code
  • Provider NPI
  • Amount billed
  • Any applicable medical records

For your convenience, claim forms can be found here:

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