<h2><strong>PROVIDER FORMS</strong></h2>
<table border="0" style="width: 194pt;" width="258">
<colgroup>
<col width="258" style="width: 194pt;">
</colgroup>
<tbody>
<tr height="20" style="height: 15pt;">
<td colspan="1" rowspan="1" width="258" height="20" style="height: 15pt; width: 194pt;">{contentlink=/providers/claims/claims-support-forms:Claims Forms}</td>
</tr>
<tr height="20" style="height: 15pt;">
<td colspan="1" rowspan="1" height="20" style="height: 15pt;">{contentlink=/providers/claims/claims-support-forms:Signature on File Forms}</td>
</tr>
<tr height="20" style="height: 15pt;">
<td colspan="1" rowspan="1" height="20" style="height: 15pt;">{contentlink=/providers/claims/claims-support-forms:Electronic Payment Forms}</td>
</tr>
<tr height="20" style="height: 15pt;">
<td colspan="1" rowspan="1" height="20" style="height: 15pt;">{contentlink=/providers/claims/claims-support-forms:Secure Claims Portal Forms}</td>
</tr>
<tr height="20" style="height: 15pt;">
<td colspan="1" rowspan="1" height="20" style="height: 15pt;">{contentlink=/providers/resources/provider-forms/philippine-preferred-provider-forms:Philippine Preferred Provider Forms}</td>
</tr>
<tr height="20" style="height: 15pt;">
<td colspan="1" rowspan="1" height="20" style="height: 15pt;">{contentlink=/providers/resources/provider-forms/provider-application-forms:U.S. Territories Provider Forms}</td>
</tr>
</tbody>
</table>
<p><br></p>