Supporting documentation for your orthotic claim
Additional information is required to support your claim for orthotics. Your orthotic claim will be held until we receive this information. Do not resubmit your claim. Please only send us the following documentation:
- A copy of the prescription outlining the medical diagnosis from a physician, podiatrist, physiotherapist or chiropractor
- A copy of your biomechanical assessment, which must be performed in person by your provider
- Either a written confirmation of orthotic casting and fabrication or a copy of the orthotic casting and fabrication form completed by the provider
- A copy of your payment receipt
You can upload this information in your Member Profile or send it by mail. Click here for more information.