Report a new Healthcare claim

You can report your claim any of the following ways:

Complete the Healthcare report form (see below for instructions and link), and send it to

Print out and complete the Healthcare form below, and fax it to 844-879-2459, along with any documents you have that relate to your claim.

Call QBE at 844-723-2524 (844-QBE-CLAIMS), our 24/7 hotline.

Healthcare Claim Form

Healthcare form instructions:

  • Click on the link to the PDF form above
  • Complete the form with as much information as you have available. Note: electronic signature is optional
  • Save the completed form to your computer.
  • Open your email application (e.g. Outlook, Gmail)
  • Attach the form to a new email. Also include any documents you have on hand that are related to the claim.
  • Send the email to
  • A claims professional will be in touch with you shortly to discuss your claim