How to File a Claim

CALIFORNIA MEMBERS of UNPROCESSED MEDICAL EXPENSES

(When the claim is not filed by the provider; excludes copays)

IN OR OUT OF CALIFORNIA EXPENSES

Mail Reimbursement forms with receipts to:

LAFRA

Medical Expense Reimbursement

P.O. Box 41903

Los Angeles, CA 90041

<click here for the REIMBURSEMENT FORM (green form)>

For questions call: 866-995-2372

THE FOLLOWING IS THE INFORMATION ON THE BACK OF YOUR ID CARD AND SPECIFIES WHERE YOUR PROVIDER SHOULD SUBMIT CLAIMS.

CALIFORNIA MEMBERS 

Mail California Claims to:

Prudent Buyer Plan,

P.O. Box 60007

Los Angeles, CA 90060-0007

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If claim is incurred Outside of California:

Submit claims to your local Blue Cross and/or Blue Shield plan in the state where the service is rendered. Include the 3 digit alpha prefix (LFY) that precedes the patient ID number.

MEMBERS LIVING OUTSIDE CALIFORNIA

If you Live Outside of California:

Submit claims to your local Blue Cross and/or Blue Shield plan in the state where the service is rendered. Include the 3 digit alpha prefix (LFY) that precedes the patient ID number.

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If claim is incurred in California: 

Prudent Buyer Plan,

P.O. Box 60007

Los Angeles, CA 90060-0007