Creating Healthier Benefits SM
Home | Search | Contact Us
Interactive Medical Systems
Downloads & Forms
Standard Forms

  Uniform Glossary of Health Coverage and Medical Terms

  Medical Claim Form - HCFA 1500

  Dental Claim Form

  Vision Claim Form

  Disability Claim Form

  Student Status Form   -   Executed online through Citrix's RightSignature

Section 125 Cafeteria Plans / Flexible Spending Accounts / Health Reimbursement Arrangement

  Flexible Spending Account Claim Form

  Request Form for Issuance of Additional Flex Debit Cards

  Health Reimbursement Arrangement (HRA) Claim Form

  Over-the-Counter Medicines - Quick Reference Guide

General Information

  Services Provided by Interactive Medical Systems