Submit a Claim or Bill

How and Where to Send Us Your Request for Payment

Send us your request for payment, along with your bill and documentation of any payment you have made. It’s a good idea to make a copy of your bill and receipts for your records.

Mail health care bills to:

Brand New Day
Attn: Claims Department
PO Box 93122
Long Beach, CA 90809

Mail prescription drug bills to:

Express Scripts
Attn: Medicare Part D
PO Box 14718
Lexington, KY 40512‐4718
Fax: (608) 741‐5483

Medicare Part D Prescription Drug Claim Form (English) (Spanish)

You must submit your claim to us within one year for medical claims and three years for prescription drug claims of the date you received the service, item, or drug.

Contact Member Services if you have any questions. If you don’t know what you should have paid, or you receive bills and you don’t know what to do about those bills, we can help. You can also call if you want to give us more information about a request for payment you have already sent to us.