Authorization to Release Confidential Claim Information (Individual Physician)
This Claim History Report for an individual is free for current MDAdvantage insureds, or $35 for physicians who are no longer covered.
Request for Group Policy Physician Claim History Information
The Group Policy Physician Claim History Report is free for each physician or paraprofessional currently on an MDAdvantage Group Policy, or $35 each for those no longer insured by MDAdvantage, subject to a maximum fee of $150.
