How to Submit A Claim

Most health care providers will submit your claims on your behalf. If you must submit your own claims, use this form and follow the instructions below.

Online Claims Form

Remark Code Explanations/Descriptions

Remark Codes

Claims can be submitted in the following ways:

Mail:
Attn: Claims Dept.
SelmanCo
PO Box 14043
Lexington, KY 40512

1-800-310-5514

Email: Scan the document and email it to

Watch this video about claims.

Our eService website is the easiest way for our policy holders to make changes to their policies! Visit the eService portal by clicking the button below.

Login to eService

Check Claim Status/Check Payment History