To submit the AKC Pet Healthcare Plan Claim Form, email the completed form to claims@petpartners.com, fax it to 919-859-8193, or mail it to PO Box 37940, Raleigh, NC 27627. Ensure all sections of the form are completed accurately, including policyholder information, pet details, claim description, and veterinary treatment information. Attach the itemized invoice from your veterinarian to expedite processing.

Check your policy documents for specific claim submission deadlines relevant to your plan. Dates for 2024 and 2025 will be mentioned as per your coverage terms.

The purpose of the AKC Pet Healthcare Plan Claim Form is to provide a standardized method for policyholders to submit claims for their pets' healthcare expenses. This form ensures that all necessary information is collected to process the claim efficiently, including policyholder details, pet information, and veterinary treatment records. By using this form, pet owners can seek reimbursement for eligible expenses under their AKC Pet Healthcare Plan and ensure their pets receive the necessary medical attention. This document also helps streamline the claims process, making it easier for both policyholders and insurance providers to handle claims effectively and promptly.

• 1. Policyholder Information: Includes fields for full name, address, city, state, zip, policy number, phone, and email.
• 2. Pet Information: Fields for pet name, breed, gender, age, and any changes in information.
• 3. Claim Information: Details regarding the first notice of symptoms, other pet insurance, previous veterinary hospitals, and a brief description of the injury/illness.
• 4. Policyholder Declaration: A section for the policyholder to confirm the accuracy of information and authorize records retrieval.
• 5. Veterinary Treatment Information: To be completed by the veterinarian, including treatment dates, diagnosis, and a declaration of accuracy.

Failing to submit this form may result in the denial of your pet healthcare claim. Ensure all required information is provided to avoid delays.

• Claim Denial: Your claim may be denied if all necessary information is not submitted.
• Delayed Reimbursement: Lack of submission can delay the processing and payment of your claim.
• Coverage Issues: Failing to submit accurate information may lead to issues with your pet healthcare coverage.

• 1. Pet Injury: Submit a claim for reimbursement of veterinary expenses due to injury.
• 2. Pet Illness: Use this form to report and seek reimbursement for illness-related treatments.
• 3. Routine Checkups: File a claim for routine checkups if covered under your plan.
• 4. Policy Updates: Update your policy information when submitting a claim.
• 5. Multiple Pets: Submit separate forms for each pet under your policy.