Upload Claim Documents
Use this form to provide us with:
- A signed and completed Proof of Loss form.
- Detailed bills for services received.
- Receipts for payments made.
- Any other supporting documentation.
Optional information that may be necessary to complete your claim:
- Physician's Statement
- Payment Authorization: English, Español
- Privacy Disclosure (PHI Form): English, Chinese, Español, French, Korean, Portuguese
- PHI form FAQs
- Subrogation Form (please complete if your loss was the result of an accident)
How to Submit a Claim Appeal
Contact Us
Seven Corners, Inc.
Attn: Claims
PO Box 211760
Eagan, MN 55121
- TOLL FREE 1-800-335-0611
- WORLDWIDE (317) 575-2652
- COLLECT (317) 818-2809
- TEXT +1-888-655-1402*
- WHATSAPP +1-317-430-1140*
- EMAIL customerservice@sevencorners.com
- FAX (+1) 317-575-2256 *By sending a text to this number, you are opting in to receive messages from Seven Corners. You can text STOP at any time to stop receiving messages.
Seven Corners, Inc.
Attn: Claims
PO Box 211760
Eagan, MN 55121
