Trupanion Claim Form – Fill Out and Use This PDF

Trupanion Claim Form is a convenient way to get reimbursed for veterinary bills.

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Trupanion Claim Form PDF Details

If you are the owner of a pet, then you know that there is always a chance that something could go wrong. When something does go wrong, it's important to have insurance to cover the costs. Trupanion is one of the best pet insurance providers available, and their claim form is simple to fill out. In this blog post, we'll provide an overview of the Trupanion claim form and how to fill it out. We'll also provide some tips for making the process as smooth as possible.

The table features information about the trupanion claim form. You will have the assumed time it would require you to complete the form and several extra details.

Question	Answer
Form Name	Trupanion Claim Form
Form Length	1 pages
Fillable?	Yes
Fillable fields	25
Avg. time to fill out	5 min 19 sec
Other names	claims trupanion com, trupanion claims form, trupanion insurance pet form, trupanion pet claim form

12

Form Preview Example

						Hate filling out forms? Go to Members.Trupanion.com
						Hate filling out forms? Go to Members.Trupanion.com
						and sign into your account for easy invoice submission.
	CLAIM FORM					and sign into your account for easy invoice submission.
	CLAIM FORM
	Member name:					Preferred phone:
	Your pet’s name (please complete one form per pet):
	Your membership number (if known):

Reason for treatment - If unsure, please contact your hospital for more information

Hospital name:

Illness/injury:

Have you submitted an invoice for this illness/injury previously?
If yes, claim number:					If no, date of first signs:
		If known				MM	DD	YY
Additional illness/injury (if applicable):
Have you submitted an invoice for this illness/injury previously?
If yes, claim number:					If no, date of first signs:
		If known				MM	DD	YY

If there is prescription food on this invoice, would you like it reviewed for coverage? Yes No

Your pet’s info - Complete only if you have not done so previously or if the information has changed

Your membership agreement with Trupanion authorizes all veterinarians that your pet has received treatment from to provide us with a copy of your pet’s medical records and confirms all information provided is true and accurate to the best of your knowledge and belief.

Date of birth:				Is/was your pet insured under any other insurance provider?			Yes		No
	MM DD		YY
If yes, provider name:					Cancel date:			OR	Coverage still active
						MM DD YY

Please, list all hospitals your pet has visited:

Name:			City:
Name:			City:
Name:			City:

		Payment info - Leaving this section unmarked will result in payment to you, our member.

I have paid my bill in full. Pay me by my selected

payment method.

To setup direct deposit to your bank account, please login to your account at Members.Trupanion.com.

I have not yet paid my bill. Pay my invoice by the hospital’s selected payment method.

Ask your vet if they will accept direct pay from Trupanion.

They can contact us to set this up.

Submit this completed form and hospital invoice or pharmacy receipt by one of the following methods:

Payouts made to you:	Payouts made to your Veterinarian:
Email: Claims@Trupanion.com or FAX: 866.405.4536	Email: VetDirectPay@Trupanion.com or FAX: 866.729.2915

Mail: 6100 4TH Ave S. Seattle, WA 98108

In order to avoid delays, all claims submitted must include a fully completed claim form and

accompanying itemized invoice(s) with all treatment descriptions and charge amounts clearly visible.

Questions? Claims@Trupanion.com • 855.266.2151

For your protection, insurance laws require the following to appear on this form: Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in prison.

Trupanion is a registered trademark owned by Trupanion, Inc. Underwritten in Canada by Omega General Insurance Company and in the United States by American Pet Insurance Company, 6100-4th Ave S, Seattle, WA 98108. Please visit AmericanPetInsurance.com to review all available pet health insurance products.

PCF018-0220

How to Edit Trupanion Claim Form Online for Free

The PDF editor was built to be so simple as it can be. Once you comply with the following actions, the procedure for completing the trupanion insurance pet form form will be hassle-free.

Step 1: First, choose the orange "Get form now" button.

Step 2: So you will be on your form edit page. It's possible to add, transform, highlight, check, cross, add or remove fields or text.

The next segments are included in the PDF document you will be creating.

filling out trupanion claims form part 1

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Filling in trupanion claims form part 2

Step 3: If you're done, click the "Done" button to export your PDF file.

Step 4: Make copies of your form - it will help you remain away from forthcoming troubles. And don't get worried - we do not reveal or check your information.

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