Client Login:

  • DomesticAccess for U.S. TPAs, MGUs, Healthplans, Workers Compensation, etc.
  • InternationalAccess for Non-U.S. Assistance Companies, Insurers, Government Agencies, etc.
  • MaritimeAccess for P&I Clubs, Ship Owners, Cruise Lines, Vessels, etc.
  • PPO Access for National, Regional, Specialty Networks
  • ProvidersAccess for Providers and Hospitals serving Maritime and International Members.
  • ConsumersAccess for private pay individuals
* denotes required field
Send A Medical Claim to HSI
HSI will review the enclosed bills and respond with recommendations and discounted results.
Sender's Information
*Name:
*Phone:
*Email:
*Company Name:
Claimant Information
*Name:      
*Employer:
Vessel:
Your Reference/Claim Number:
P&I Club (if applicable):
*Type of Claim: *Choose one: 
Comments:
+Attachment:  
+Please attach claim for online submittal
Other Insurance: *Choose one: