Claim Form
Questions? Call us at 855-898-8991 or email us at claims@healthypawspetinsurance.com.
1. Complete Your Claim Form
Please complete all information below. Don’t forget to sign and date!
2. Send Us Your Claim Form and Itemized Invoice
Help us process your claim quickly. Email, fax or mail us this claim form, your itemized veterinary invoice, and include your pet’s
complete medical records if this is your rst claim. We’re unable to process a claim without your pet’s medical records.
3. The Healthy Paws Team Processes Your Claim
Our goal is to process your claim as quickly as possible. For repeat claims, we typically process the claim within 72 hours.
First-time claims may take a little longer—between seven and ten business days, depending on when we receive all of your pet’s
medical records.
FILING A CLAIM IS AS EASY AS 1-2-3!
SUBMIT YOUR CLAIM FORM AND INVOICE
It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company.
Penalties may include imprisonment, nes or a denial of insurance benets.
EMAIL
claims@healthypawspetinsurance.com
REGULAR MAIL
Healthy Paws Pet Insurance
P.O. Box 50034, Bellevue, WA 98015
FAX
1-888-228-4129
Invoice Number:
Veterinary Hospital Name:
Date when your pet rst showed symptoms of this illness or injury: / /
Invoice Total: $
DECLARATION: I certify with my signature below that the information provided is accurate to the best of my knowledge. I authorize any veterinary hospital or veterinarian to provide additional
information about my pet to Healthy Paws Pet Insurance. I understand that missing information or delays in delivering the pet’s medical records may delay the processing of my claim. Claims
must be submitted for processing within 90 days of invoice date
Policyholder Signature:
Date: / /
What was your pet treated for?
Note: If this is the rst claim for your pet, please ask your veterinary hospital to include a copy of your pet’s complete medical history with doctor’s
exam notes and any laboratory results.
Has your pet been seen by another veterinary hospital? If yes, which hospital(s)?
YOUR CLAIM INFORMATION
Please refer to the veterinary invoice that you will submit with this claim.
Invoice Date: / /
YOUR POLICY INFORMATION
Policy Number:
Pet Parent Name:
Phone Number:
Pet Name:
Email:
It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company.
Penalties may include imprisonment, nes or a denial of insurance benets.
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signature
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