In the event of either an Injury or a Sickness:
- Report to a Physician, Hospital or the School’s Student Health Services.
- Written notice of a claim must be submitted to the address below within thirty (30) days after the date of Injury or commencement
of Sickness covered by the Policy, or as soon thereafter as is reasonably possible.
- Send all medical and hospital bills, along with the patient’s name and insured student’s name, address, Social Security number or student ID number and name of the University under which the student is insured, to the address below. A Company claim form is not required for filing a claim.
PO Box 188061
Chattanooga, Tennessee 37422-8061
Electronic Payor ID: 62308
For Non-Cigna PPO Providers:
Wellfleet Group, LLC
dba Wellfleet Administrators, LLC
P.O. Box 15369
Springfield, Massachusetts 01115-5369
(877) 657-5030, TTY 711
Bills should be received by the Company within ninety (90) days of service. Keep copies of all the documents you submit. To
check the status of a claim you submitted, call (877) 657-5030, TTY 711 or visit www.wellfleetstudent.com.
Confidential Communication Request
If you would like to have confidential medical information from the claims administrator sent to an address other than the address on file with your school, you can download a Member’s Authorization to Release Information form and send it to the address listed. This form is available below.