lonemountain     
Overview of the campus
People walking on Lone Mountain
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Negoesco soccer field at the University of San Francisco     
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Golden Gate Bridge at noon  

Nursing Student Medical Claims

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

  1. To file a claim, please complete this Nursing Medical Claim Form .
  2. Bring claim form to Franciscan Treatment Center
  3. Submit claim form and any associated invoices, bills, HCFA 1500 or UB92 forms to Bob McCloskey Insurance Agency following treatment.

 

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.)

Franciscan Treatment Center Information:

Address

1199 Bush Street, Suite 160

San Francisco, CA 94109

 

Claims Contact

Gayle Chan-Lee

gayle.chan-lee@dignityhealth.org

(415) 353-6305

Bob McCloskey Insurance Agency Claims Reporting Information:

Mailing Address

Bob McCloskey Insurance

P.O. Box 511

76 Main Street, Matawan, NJ 07747

Claims Email Address

tricia@bobmccloskey.com

Nationwide Toll Free Phone Number

1 (800) 445-3126

Customer Service Hours

9:00a.m. – 5:00p.m. (EST)