Claim Form

How Do I File a Claim?

If you wish to participate in this settlement and receive either a $100.00 flat award or if you wish to produce actual documentary evidence or payments in excess of $100.00 and be awarded that amount minus $2.08, then YOU MUST FILL OUT A CLAIM FORM BY MAY 3, 2027. 

On your Claim Form submittal, you must provide your Date of Birth, last 4 digits of your Social Security Number, and your unique identifier found on your Notice Postcard. This information will be used to verify you are a Class Member who requested in writing and paid for medical records from the Defendant between September 10, 2008 and June 5, 2014.

You may access and submit the Claim Form as outlined below. When submitting your documentary evidence, if applicable, you must include your name, unique id and telephone number.

The Deadline to Submit a Claim Form may be extended without further direct notice to you so please consult this Settlement Website at www.UHCMedicalRecordsOvercharge.com to be aware of any updates in this case. They will be easily found on the home page of this Settlement Website.