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Reimbursement Request
Please only use this form to
submit a claim request.

Fill out the form to securely submit a reimbursement claim request.

Your Address
Amount of Claim
Reason for Reimbursement
Additional Information
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Your Details

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Your Name
Email Address
Phone Number
Preferred Contact Method

Agreement

Ommpo’s People-First Approach puts your well-being front and center.

Submitting Invoices
At Ommpo Health, we strive to make healthcare reimbursement simple, transparent, and hassle-free. However, before submitting your medical invoices, please review the following important information:
• Eligibility Requirements: Only invoices from licensed urgent care medical providers and veterinarians are eligible for reimbursement. Ensure that your provider meets the required criteria before submission.
• Submission Accuracy: All submitted invoices must be complete, legible, and accurate. Incorrect or missing information may result in delays or denied reimbursements.
• Processing Time: While we aim for fast reimbursement processing, approval times may vary based on submission volume and verification requirements.
• Coverage Limitations: Ommpo Health is not a traditional insurance plan. Reimbursement limits, exclusions, and terms apply based on your selected subscription plan. Please review your plan details before submitting.
• Fraud Prevention: Any attempt to submit altered, falsified, or duplicate invoices will result in immediate account suspension and may be subject to further action.
• Need help? If you have questions about your invoice submission, please contact our support team before submitting. We’re here to ensure a smooth and secure process for you.
By submitting an invoice, you acknowledge and accept these terms. Thank you for trusting Ommpo Health!
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