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Your Case Manager will direct you with your Service Selection...
Initial Claim Request
$750.00
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
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
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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