How do I file an AFLAC claim?

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Filing a claim with SDPEBA is fast and simple!

Simply, contact the SDPEBA Claims team by email; claims@sdpeba.org

To speed up the process, please do your best to provide the following information that applies;

Injuries:

  1. Name and DOB of patient
  2. Medical Records
    1. Date of injury
    2. Diagnosis of injury
    3. How did the injury happen
    4. Date of first visit for injury
  3. Which facility did you visit for your injury? (This can be generic, ex. Sharp La Mesa)
  4. Was the injury work related?
  5. If with Kaiser, please provide Kaiser MRN (Medical Record Number) so that we can obtain your records for you.

All injury related claims:

  • Your medical records will need to indicate HOW the injury occurred and the diagnosis. If this is not in your medical records you will need to request a Dr's Statement with this information.
  • If any prescriptions were given a Pharmacy Ledger will be required. You can request this from your pharmacist when picking up your prescriptions, it usually comes in the bag when they give you the prescription.  

Annual Exams:

  1. Name and DOB of patient
  2. Date of exam
  3. Type of exam
  4. Facility/Primary Doctor’s name and address

Illnesses and Non-Accidental Injuries:

  1. Name and DOB of patient
  2. Medical Records
    1. Date of illness
    2. Diagnosis of illness
    3. Date of first visit for illness
  3. Which facility did you visit for your illness? (This can be generic, ex. Sharp La Mesa)
  4. If with Kaiser, please provide Kaiser MRN (medical record number) so that we can obtain your records for you.
  • If any prescriptions were given a Pharmacy Ledger will be required. You can request this from your pharmacist when picking up your prescriptions, it usually comes in the bag when they give you the prescription.  

Once this information is obtained our SDPEBA Claims Team will email you back with documents for you to sign along with any additional information that may be required to file your claim that was not already received. Please see notes above for required information to file claims with AFLAC. 

Our SDPEBA Claims Team will follow up by email within 1 business day from claims@SDPEBA.org Please check your spam or junk folder. All correspondence will be communicated from this email address please save to your Safe Sender list to avoid laps in communication. 

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