… Claims Related Coverage Topics Appeals Process Outside … outside of the Yale Health Center) you should submit a Supplemental Claim Form for reimbursement. Complete a separate claim form for …
… Allergy Forms Student Enrollment/Change Application Form Yale Student Vaccine Medical Exemption Form Guides … Information About Pediatric Vaccines Medical Chaperone Claims You will need your member ID number and the Yale … Claim Form (Paper) Pharmacy Claim Form (Electronic) Supplemental Claim Form Retiree Major Medical Claim Form …