Submit a request
Sign in
Wavier of Liability
INet Claims
Submit a request
NO HCFA-1500 OR UB-04 ORIGINAL OR CORRECTED CLAIM FORMS ARE ACCEPTED THROUGH THIS PORTAL, PLEASE SEE NEW CLAIM FAQ ON INTEGRANET HOME PAGE
Submit a request
Please choose your issue below
-
INET Claims Appeals/Reconsiderations
INET Claims Appeals/Reconsiderations
Wavier of Liability