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How to Submit a Claim

STEP 1: Complete the HAP Registration/Referral Form and submit to our office for review.  

 

STEP 2: Gather supporting documentation

HAP can make a payment directly to your insurance company. You must fax your insurance claim to 562-270-0615 at least 15 days before the payment is due.

  • Copy of the bill and payment coupon that shows the amount you owe for medical insurance or your supplemental medical plan

  • Copy of your insurance card or Medicare Supplement card

  • A statement from the insurance company showing the amount for individual medical/prescription coverage (Please note: HAP does not cover dental and vision insurance premiums)

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Disclaimer: All medical insurance claims are processed on a first-come first-serve basis regardless of the submission method used. HAP is not responsible for maintaining continuation of medical insurance coverage.

 

​STEP 3: Submit your medical insurance claims to us

Send HAP Registration/Referral Form with supporting documents to HAP using one of the following methods:

       California Benefits Support Center        

       620 W 16th Street, Suite B,

       Long Beach CA 90813

 

 

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