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 Sprint Claim Form
The Sprint Nextel Claim Form is not required for network claims.
Network providers will bill Fiserv Health directly for your care.
Providers that are not part of the SprintChoice Network may
require payment up front for their services.
Therefore, when receiving the itemized bill from the physician, hospital, or
other healthcare provider, please use the attached claim form and send this with
the non-network itemized bill into Fiserv Health at the address noted on the Claim
Form in order to receive proper rembursement consideration.
SprintChoice Provider Directory
created: 12/28/2007
Please check with your provider to determine if he or she
is participating in the SprintChoice network. Be sure to indicate the specific
Sprint medical plan option, i.e.., SprintChoice, SprintSelect
or SprintIndemnity. Also, indicate that you reside in the 13 county
Kansas City service area.
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