Thank you for selecting the Old Surety Life lnsurance Company website for policyholder eligibility information.
Please Click Here To Verify Benefits of a Medicare Supplement Policyholder.
However, if you have software on your computer that returns eligibility and claim status from other
insurance companies, then it should return the same type of information about Old
Surety Life lnsurance Company policyholders.
Please ensure that your practice management software recognizes data from Change
Healthcare. lf it does not, contact your software vendor and ask them to add Change
Healthcare as an option.
EFT Enrollment
lf you want ERA'S (electronic EOB'S) and payment by EFT/ACH, please fill out the
appropriate form located below and fax the entire PDF to
Change Healthcare. We'll handle the rest from there.
Forms: (
professional or
institutional)
EOB Requests
If you are
unable to get a copy of your EOB from Change Healthcare,
you can send a written request to Old Surety by fax at (405) 524-4011 or by email at claim02@oldsurety.com .
For us to be able to process
your EOB request, you will need to include the following information: Policy number, date of
service, billed amount, and your return fax number.