Greenshield claim forms 2025

1. Click ‘Get Form’ to open the greenshield claim form in the editor.
2. Begin with Section 1 – Plan Member Information. Fill in your Green Shield Canada ID number, email address, surname, first name, phone number, and address details including company name, city, province, and postal code.
3. Move to Section 2 – Mandatory Declaration. Answer questions regarding other insurance coverage and indicate if you want to coordinate claims with any existing coverage or Health Care Spending Account.
4. In Section 3 – Claim Details, provide the patient’s name (only those with receipts attached), date of birth, professional/supplier’s name and provider number if available. Include the date of claim and type of expense along with the total amount charged per visit/item.
5. Complete Section 4 – Authorization by signing and dating the form to confirm that all information is accurate.
6. Finally, refer to Section 5 for mailing instructions. Ensure all original documentation is attached before sending your claim to the appropriate address.

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