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settlements

Data Upload

Please use the data upload form below for your settlement case if you have already signed and submitted the settlement agreement.

Contact us at 612-491-6201 or info@vmcclaim.com with any questions or concerns.

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Payment Card
BCBS Provider

Select a Settlement to Upload Data

Payment Card Data Upload Form

Please complete this form to best of your ability. Complete and accurate information will improve our ability to locate and identify your transaction history with VISA & MasterCard.

Separate multiple entries with a comma when providing names or numbers and upload any files such as Merchant Processing Statements, Form 1099-Ks, Annual Revenues, Excel files, etc. You can also email them to info@vmcclaim.com.

BCBS Provider Data Upload Form

Please complete this form to the best of your ability. Complete and accurate information will improve our ability to locate and identify your Facility or Professional information.

Separate multiple entries with a comma when providing names or numbers and upload any files such as EOBs, Remittance Advices, Excel files, PDF files, etc. You can also email them to info@vmcclaim.com.