Request for Medical Claim Information

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Contact Information - Login

To begin the online questionnaire, please enter the following information listed on the front of the letter you recently received.

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To contact us, please call the toll-free number listed on your questionnaire.
We are available between the hours of 8:30 AM and 8:00 PM (Eastern Time Zone). To protect your privacy, your session will automatically end after 45 minutes of inactivity. Any information you enter up to that point will not be saved. If this occurs, please log in and begin again. Thank you!

Our mailing address is:
The Rawlings Group
c/o Subro Web Questionnaire
PO Box 2000
LaGrange, KY 40031-2000