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INSURER FILING GUIDE

AvMed

Use this public information to prepare your packet, then confirm the route on the insurer's own page.

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AT A GLANCE

Claim facts

Member form

MEDICAL Direct Member Reimbursement Form

Number: MP-7341

Revision: 2018-09 (printed in month/year order)

Open the insurer form
Portal uploadNO
Portal pathNO: current medical reimbursement form and member resource page publish only nonportal submission routes
Mail addressAvMed, Attention: Member Reimbursement, P.O. Box 569008, Miami, FL 33256
Fax305-671-4736
AttachmentsDate each service was rendered; procedure code for each service; diagnosis code; description of service; provider contact information; provider Tax ID; proof of purchase
Deadline12 months after the service is provided
Outcome and statusMember Portal claims view; exact menu path Not published by the insurer
Processing time45 business days
CaveatsThe current form covers commercial and Medicare members, but this read excludes Medicare Advantage and Medicaid. Out-of-network coverage depends on plan type.

STEP BY STEP

Filing steps

Source: https://www.avmed.org/en/documents/avmed-general-document/2025/forms/medical-direct-member-reimbursement-form-pdf

Read date: 10-09-2026

Research steps

  1. Confirm that the claim is within 12 months after the service and that the member plan has an out-of-network benefit. https://www.avmed.org/en/individuals-families/member-resources
  2. Download and complete the MEDICAL Direct Member Reimbursement Form, MP-7341. https://www.avmed.org/en/documents/avmed-general-document/2025/forms/medical-direct-member-reimbursement-form-pdf
  3. Attach an itemized statement that identifies each date of service, procedure code, diagnosis code, service description, provider contact information, provider Tax ID, and proof of purchase. https://www.avmed.org/en/documents/avmed-general-document/2025/forms/medical-direct-member-reimbursement-form-pdf
  4. Have the member sign and date the form. https://www.avmed.org/en/documents/avmed-general-document/2025/forms/medical-direct-member-reimbursement-form-pdf
  5. NO PORTAL UPLOAD: the current form and member page publish only nonportal routes for a medical reimbursement claim. https://www.avmed.org/en/individuals-families/member-resources
  6. Use the Member Portal claims view to review processed claims. The public page does not publish the exact claim-status menu path. https://www.avmed.org/en/individuals-families/member-resources/for-new-members

Filing facts

  • Portal upload: NO
  • Portal: AvMed Member Portal
  • Portal path: NO: current medical reimbursement form and member resource page publish only nonportal submission routes
  • Mail address: AvMed, Attention: Member Reimbursement, P.O. Box 569008, Miami, FL 33256
  • Fax: 305-671-4736
  • Attach: date each service was rendered; procedure code for each service; diagnosis code; description of service; provider contact information; provider Tax ID; proof of purchase
  • File types: NOT PUBLISHED
  • File size limit: NOT PUBLISHED
  • Maximum files: NOT PUBLISHED
  • One file or separate files: NOT PUBLISHED
  • Confirmation: NOT PUBLISHED
  • Status check: Member Portal claims view; exact menu path NOT PUBLISHED
  • Processing time: 45 business days
  • Member deadline: 12 months after the service is provided
  • Deadline basis: The public rule is on the individual and family member page; controlling employer documents may differ
  • Mental health route: NOT PUBLISHED: no separate behavioral claim route found in public sources

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.

Read on 10-09-2026 from https://www.avmed.org/en/documents/avmed-general-document/2025/forms/medical-direct-member-reimbursement-form-pdf. Confirm the address, fax number or portal path on the insurer's own claims page before you send.