How to file a Morgan White claim

In order to file a claim with Morgan White, you must first fill out a claim form. You can find that document as an attachment to this article (at the bottom).

Ensure claims meet the following criteria for submission:

1. The claim form is legible, complete in its entirety, signed and dated.

The claim form indicates services rendered, where and by whom services were rendered, and the total cost for each service.
It will also detail type of illness/accident and the dates the illness/accident first occurred. The physician must complete the “Treating Physician” portion of the claim.

2. Attach all medical records related to the claim.

Medical records should include handwritten notes by the physician, surgical reports and diagnostic and/or pathology results where applicable. Exceptions include preventive care visits, pharmacy, dental and vision services.

3. Attach all original receipts.

Copies are not accepted. Receipts should reflect the exact amount paid for all services for which you are  seeking reimbursement. They should also reflect the provider’s name, date of service, total charges and a zero balance.

If you do not complete these three criteria, your claim will be denied. Morgan White also reserves the right to request additional documentation related to your claim. 

Please note that any non-emergency hospital admission must be pre-certified at least 15 days before the procedure. You can use the same document below for a precertification.