Sorry, you must have JavaScript enabled for this site to function properly!
Sorry, you must have Cookies enabled for this site to function properly!
Home
Sign In
Sign Out
Home
» UR-Chiro Request » Claim
Claim
If you do not know the claim number, use
Claim Lookup
Claim Number
Claim Lookup
×
Claim Lookup
The search parameters are invalid. At least one of the following parameters is required.
A claim number.
Employee's SSN and Injury Date
Last Name, First Name, and Injury Date
Last Name, Employee's Date of Birth, and Injury Date
Claim Number
Employee's SSN:
Employee's Last Name
Employee's First Name:
Employee's DOB
Injury Date
First Name
Last Name
Date of Injury
Employer
Claim Number
Claim Status
Body Part
×
Your session is about to expire.
Your session will expire shortly. You will be automatically logged out if you remain idle and your session expires.