Submit My Claim

Hey! I'm Jane, your friendly Aegis Administration representive! I'm here to help you get your claim submitted.

Do you already have a estimate?

1

Yes I do!

2

No I need to start a claim!

Awesome! Lets get your policy information to get started

Whats your contract number?

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Do you have your contract number available? If not just hit next below.

Contract Number

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Can you please provide me with your information?

First Name

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Last Name

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Address

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City

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State

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Zip Code

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Thank you! Whats your phone number?

Is this your cell phone? If so, please check the box.

Thanks. What are you experiencing issues with?

Please provide any production year, make and model information that you may have available on the appliance or system.

Please specify an answer

Did you already have the repairs completed?

1

Yes, I did

2

No, I am waiting for your okay

Have you done any trouble shooting so far?

If so, tell us what you have tried below:

Please enter your notes here:

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Have any pictures to share of the appliance/system?

Feel free to send us pictures of the failure, model number, whatever you think may help process your claim!

Drop your file here or click

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Do you have a servicer in mind that you want to use? If so enter their information below.

Enter the servicers name, phone number, addres etc.

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Select Your Preferred Service Schedule 📅

Your comfort and convenience are important to us. Please let us know your preferred days and times for a service visit. While we strive to meet your schedule as closely as possible, here are a few things to keep in mind:

Flexible Coordination: We work with a dedicated network of third-party service providers to bring you the best in-home service experience. Given the dynamic nature of scheduling, there may be occasions when adjustments to your preferred timing are necessary.

Working Together: Our goal is to find a time that works well for both you and our service technicians. If your initial preferences cannot be met, we will reach out to you to discuss alternative arrangements.

Communication is Key: Should there be any need to adjust your scheduled service, rest assured, we will contact you in advance to confirm a new time that suits your availability.

We appreciate your flexibility and understanding as we work to schedule your service. Together, we’ll ensure your home receives the care it needs at a time that works for you.

Let's Get Started

Choose Your Preferred Days:

Please select your first choice date

Please select a date.

Please select your second choice date

Please select a date.

Please select your third choice date

Please select a date.

Select

Its required that Aegis Administration gives prior authorization before any services are completed. Please upload any documentation you may have to include for review. Please include any estimates, service documents, and proof of payment. Send us everything, we will sort through it!

Drop your file here or click

Accepts png, jpeg, pdf

Ready to submit the information for review?

1

Yes, lets go!

Let me get everything submitted!

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OK! I just need your email and to know how you prefered to be contacted about your claim.

Email address

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Where can we reach you to discuss your claim?

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By checking this box,I acknowledge that I am submitting my information virtually to the Aegis Administration claims office. The claims team will review my submission and reach out to me during normal business hours of Monday to Friday, 8:00 AM to 5:00 PM CST.

Thanks for submitting your information!

We will get back to you as soon as possible.

In the mean time if you need us you can reach us at 855-203-9876!

Submission

Review

Contact

Hey! I'm Jane, your friendly Aegis Administration representive! I'm here to help you get your claim submitted.

Do you already have a estimate?

Awesome! Lets get your policy information to get started

Do you have your contract number available? If not just hit next below.

Can you please provide me with your information?

Thank you! Whats your phone number?

Thanks. What are you experiencing issues with?

Have you done any trouble shooting so far?

If so, tell us what you have tried below:

Have any pictures to share of the appliance/system?

Feel free to send us pictures of the failure, model number, whatever you think may help process your claim!

Do you have a servicer in mind that you want to use? If so enter their information below.

Select Your Preferred Service Schedule 📅

Let's Get Started

Choose Your Preferred Days:

Its required that Aegis Administration gives prior authorization before any services are completed. Please upload any documentation you may have to include for review. Please include any estimates, service documents, and proof of payment. Send us everything, we will sort through it!

OK! I just need your email and to know how you prefered to be contacted about your claim.

Thanks for submitting your information!

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