How to Submit A Claim

 

Most health care providers will submit your claims on your behalf. If you must submit your own claims, you can submit them through our eService portal, US Mail, or fax. Please use this form and follow the instructions below.

Online Claims Form

 

Remark Code Explanations/Descriptions

Remark Codes

 

TRICARE/CHAMPVA Supplement Claims FAQs

FAQs

 

Claims can be submitted in the following ways:

Mail:
Attn: Claims Dept.
SelmanCo 
PO Box 21611  
Eagan, MN 55121

 

Fax:

1-800-310-5514

 

Online Claims Submission:

Click the Submit Claims button at the top of the claims page in our eService portal.

 

Watch this video about claims.

 

Important information for providers

Providers can check the status of a claim by visiting our Claim Status Lookup page

 

Our eService website is the easiest way for our policy holders to make changes to their policies! Visit the eService portal by clicking the button below.

Login to eService