Online Claims Submission  
 
   
 
Personal Insurance Administrators (PIA) maintains confidentiality of all protected health information as required by law. To view our Privacy Policy click here.

If you need to submit a claim for an intercollegiate sports-related accident or injury you will not be able to use this online service. To submit a claim for an intercollegiate sports-related accident or injury, please contact your athletic department.

We employ security measures to authenticate users and to submit claim personal information that we maintain. Theses pages are secured with 128-bit SSL encryption. The identification information required for access to these pages is internally validated to ensure that this information cannot be viewed without proper authority.

Any attempt to circumvent security measures would be in violation of state and/or federal law. Those found in violation will be prosecuted to the fullest extent of the law.
 
 
 

Last Name:

      

Student ID:

 

School:

Date of Birth:

 

 
   
 
 
 
 
 
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