This request form is for Members or Subscribers only. Providers should call 800-925-5327 Option 6 for claims information.

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    EOBs will only be provided to an address that matches the subscriber or member's name and/or address or an address that has been previously verified and is on file with American Behavioral. By submitting this request, you agree and attest that you are the covered member or subscriber.

    EOB requests will be processed within 3 business days of receipt.