To get reimbursed for services rendered and paid for, send in your itemized receipt from your provider and a medical claim form, dental claim form or prescription claim form to Personal Insurance Administrators (PIA). Please note, the receipt will need to include a diagnosis code.

Mail your reimbursement request to:

• Personal Insurance Administrators
• P.O. Box 6040
• Agoura Hills, CA. 91376-6040