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Your Case Manager will direct you with your Service Selection...

Initial Claim Request
$750.00

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If paying by Credit Card you need to select "Pay with Debit or Credit Card" after selecting "Click Here to Pay Now" above...

Re-Open Claim Request
$350.00

PayPal ButtonPayPal Button

If paying by Credit Card you need to select "Pay with Debit or Credit Card" after selecting "Click Here to Pay Now" above...

Other Services
$0.00

PayPal ButtonPayPal Button

If paying by Credit Card you need to select "Pay with Debit or Credit Card" after selecting "Click Here to Pay Now" above...

*Prices subject to change. There is a $15 service fee to process Paypal payments.

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