INTERCOLLEGIATE SPORTS ACCIDENT CLAIMS
CLICK HERE to download our HIPAA Authorization Form.
CLICK HERE for a PDF of of our Claim Filing Instructions.
CLICK HERE to find a Provider.
CLICK HERE for a PDF sample of an Explanation of Benefits Statement (EOB)
with a detailed breakdown of the components.
Please use the links below for injuries that occurred on or after 8/1/2019
CLICK HERE to download a PDF of a fillable Identification Card.
CLICK HERE to download a fillable PDF of the Claim Form.
Please use the links below for injuries that occurred between 8/1/2017 and 7/31/2019
CLICK HERE to download a PDF of a fillable Identification Card.
CLICK HERE to download a fillable PDF of the Claim Form.
Please use these links for injuries that occurred between 8/1/2015 and 7/31/2017
CLICK HERE to download a PDF of a fillable Identification Card.
CLICK HERE to download a fillable PDF of the Claim Form.