Resources

Please note that hard copy of release MUST be sent to MFR Claims Processing

Please contact Mike Rooney for questions regarding releases.

Electronic Submission Files:

• Electronic Claim File (File to be populated with the claimant data. Please note that this file must remain in excel and the column order must be preserved.)
• Electronic Claim File - Fields Descriptions (the description of the data to include in the excel file. Please refer to the VALUES column for details of the data type as well as the required values.)
• OCFB - ACH Payment Authorization Form
• Supporting Documentation – Please review instructions page after logging into website for attaching document to claims