Request Claims History

Credentialing, Coverage, & Claims History Request Center

We're committed to ensuring access to the essential information you need.

Our reports provide coverage verification and claims histories for any Positive policies in effect during the requested time period.

Please complete the form on the right to request verification.

Our dedicated team is here to help you with any questions or concerns you may have. For any inquiries or assistance regarding your requests, please feel free to contact us.


Request a Coverage Verification or
Claims History Online

Request Type(Required)

Requestor Information

Full Name(Required)

Insured Information

Full Name of Insured(Required)

Attach Release Form

All credentialing requests require a handwritten signed authorization from the provider prior to the release of their claims history report. If you do not have a standard release form, download this sample form.

Max. file size: 300 MB.

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