Member Support Request If your plan or membership offers you GetAdvocacy services, you may use this form to submit a bill for negotiation or help finding a provider. Type of RequestFind a ProviderBill NegotiationName(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Member/Subscriber IDBrief Description of your Bill(Required)Maximum 100 charactersType of Bill(Required)Emergency RoomUrgent CareHospital - OutpatientHospital - InpatientOtherComments(Required)Please provide us with any additional information you think we need regarding your medical billAttach related bills here(Required)You're allowed up to three (3) files no larger than 25MB each. Drop files here or Select files Max. file size: 25 MB, Max. files: 3. Consent(Required) I agree to the privacy policy.I acknowledge by submitting this form, I agree to be contacted by a representative of the Health Admins/TRU HealthGroup companies DBA GetAdvocacy via phone call, SMS text, or email. My information will NOT be furnished to unaffiliated third parties.CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
