Forms

Anthem Medical Claim Form - use this form to submit claims for Anthem
Change Forms - visit this post to access change forms for many of our carriers
Fax Cover Sheet - use this form to fill in all pertinent information that our team will need to have in order to help you with your claim.
HIPAA Form - use this form as a release to McGohan Brabender so that our Customer Care Team can help you if complications arise with your benefits. If you need an example of how to complete this form, check out our HIPAA example form.
ODI Compaint Form - if you have exhausted all appeals options through your insurance carrier and wish to make an additional appeal, you can do so by sumbitted this form to the Ohio Department of Insurance