Claim Appeal & Escalation

We consider it an honor to serve you. In order to expedite your request for appeal or escalation, we need some information from you. Please fill out the form below and upload the required documentation listed. Once all information is received, your appeal will be processed within five (5) business days. Questions? Just call us at 800-527-1984. Follow the prompts for contract holders.

 


  • MM slash DD slash YYYY

  • Attach complete and legible copies of the following:

  • Max. file size: 700 MB.

  • Max. file size: 700 MB.

  • Max. file size: 700 MB.

  • Max. file size: 700 MB.


If you would prefer to MAIL the required documentation to us:

Mail:
EFG Companies
Attn: VSC Claims Appeal Department
P.O. Box 167667
Irving, TX 75016

Delivery:
EFG Companies
Attn: VSC Claims Review Department
122 W. Carpenter Frwy, 6th Floor
Irving, TX 75039