The Franciscan Treatment Center will facilitate all claims submissions. Note that Risk Management is available to address any concerns or questions, but all claims must be submitted by the injured party directly to Franciscan Treatment Center at the contact information below.
For all questions regarding student injury policy in the School of Nursing and Health Practices please refer to the School of Nursing and Health Practices Injury Policy or contact Patricia Lynch at (415) 422-2028.
Claim Information
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In order to file a claim please submit this Nursing Medical Claim Form with you to the Franciscan Treatment Center.
All Claims must be submitted 90 days or as soon as possible, or within 90 days of date of injury or first treatment for the injury (Medical bill, HCFA 1500 or UB92 should be used to submit expenses.)
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Franciscan Treatment Center Information:
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Address
1199 Bush Street, Suite 160
San Francisco, CA 94109
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Claims Contact
Gayle Chan-Lee
gayle.chan-lee@dignityhealth.org
(415) 353-6305
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Bob McCloskey Insurance Agency Claims Reporting Information:
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Mailing Address
Bob McCloskey Insurance
P.O. Box 511
76 Main Street, Matawan, NJ 07747
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Claims Email Address
tricia@bobmccloskey.com
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Nationwide Toll Free Phone Number
1 (800) 445-3126
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Customer Service Hours
9:00a.m. – 5:00p.m. (EST)
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