Claims (2025-2026 Members)

For Student Health Center or Non Network Bill

Step 1

Download the Five Points Claim Form that applies to your case and complete the fields.

    1. For the Preventative Care Claim - Vaccinations - Download Claim Form
    2. For the Sickness or Prescription Claim – Download Claim Form
    3. For the Accident or Injury Claim – Download Claim Form

Step 2

The claims materials that need to be submitted are as follows：

1) Completed Claim form

2) Your Insurance ID Card

3) Original itemized invoices/Statement

Invoice must include patient’s full name, date of birth, Diagnosis (type of Illness), date of the visit, Treatment type, Physician’s charges

4) The acceptable proof of payment (credit card receipt)

Step 3

Send the claim materials via the following one method

Email: claims@fivepointsmecplan.com and CC to dian@dianins.com

Fax: +1.915.519.0261

Mail: 6006 N. Mesa Street – STE108, Coronado Tower El Paso, TX79912

 

Tips：

* If the member paid the bill, the member need to file the claims within 180 days ( 90 days for FivePoints900/500/200/100 plans) of the date of Service to be eligible for reimbursement of covered expense. If the claim is denied, you can submit a claim appeal to the insurance company within 180 days, and the insurance company will review your claim based on your additional materials.

* The claim processing is 30 working days after submitting all the claim materials. If you have not received any notification within 30 working days, please contact DIANins customer service. We will confirm the claim progress for you and check whether there are any problems with the claim materials.

 

Claim/Benefits consultation or claim progress to FivePoints：

Direct: +1.915.803.4198

Email: customerservice@fivepointsmecplan.com 

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Claims (2024-2025 Members)

Step 1

Download SureGo Claim Form and fill out it.

Step 2

The claims materials that need to be submitted are as follows：

1) Completed Claim form

2) Your Insurance ID Card

3) Original itemized invoices with fees on Physician/Hospital letterhead.

Invoice must include patient’s full name, date of birth, Diagnosis (type of Illness), date of the visit, Treatment type, Physician’s charges

4) The acceptable proof of payment (credit card receipt)

Step 3

Send the claim materials to claims@mysurego.com and CC to dian@dianins.com

 

Tips：

* If the member paid the bill, the member need to file the claims within 180 days of the date of Service to be eligible for reimbursement of covered expense.

* The claim processing is 30 working days after submitting all the claim materials. If you have not received any notification within 30 working days, please contact DIANins customer service. We will confirm the claim progress for you and check whether there are any problems with the claim materials.

 

Claim/Benefits consultation or claim progress：

SureGo

Toll Free: +1 (866) 264-7299
Direct: +1 (251) 322-7404

 

You may also login to MyAccount www.dianins/com/login to get detailed guide for Searching hospital/claim process/prescription.

If your plan names are Atlas America(ATA)/Student Secure(SS)/Patriot Exchange Program(PEP),above information is not suitable for use, please contact us for detailed claims guide.