View all claims

Claim # Date Member Doctor/Facility Status Claim Amt. Paid by Plan Paid by You Full Details
0021129 04/14/14 John U. Dr. Who Completed $200 $150 $50 +
4892311 02/15/14 John U. Dr. What Pending $500 $400 $100 +
7100299 01/16/14 John U. Dr. When Completed $100 $100 $0 +

Make a claim

To make a claim, please download our Health Reimbursement Arrangement (HRA) request form. Once you have filled the form out, please send it to Little Bird

Little Bird

22 West 19th Street, 9th Floor
New York, NY 10011

Fax: (212) 265-1742
Email: email [@] email.com