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BeneService Web Form
Welcome to Conner Strong & Buckelew and thank you for contacting our BeneService department. Your inquiry is important to us and will be handled in a timely manner. In order to resolve your issue as promptly as possible, please complete the following information.
Member Advocacy
Name
Name of your employer
ID number on front of your medical ID card
Please check one
Policyholder
Dependent
Daytime phone number
Evening phone number
Email address
Please check all that apply
Claims payment question
Problem with a paid claim/disputed benefit payment
Enrollment or eligibility issue
Question about coverage for a specific service or procedure
Service issue with the insurance company
Request for general employee benefit plan information
Request for copies of forms, booklets or other plan information
Have you contacted the insurance company regarding this issue?
Yes
No
If yes, were they able to help you to your satisfaction?
Yes
No
Please describe the details of your inquiry and how Conner Strong and Buckelew's BeneService Department can be of help to you. Feel free to attach documents or records that may be pertinent to your inquiry.
Please Upload File
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