The Prudential Insurance Company of America fax number

Fax destination details

Department

Hospital Indemnity Claims

Purpose

Submitting a Hospital Indemnity claim using the Hospital Indemnity Claim Form; include supporting documentation and submit via fax to 844-929-9780 or by mail to the address below; online submission is also available at Prudential's MyBenefits site.

Form

Hospital Indemnity Claim Form — Hospital Indemnity Claim Form

Address

The Prudential Insurance Company of America, c/o Accenture Insurance Services, P.O. Box 71330, Philadelphia, PA 19176-1330

Voice phone

844-455-1002

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Submit the completed Hospital Indemnity Claim Form with all required supporting documentation. The form provides spaces for claimant information, hospitalization details, EFT authorization, tax certification, and release/authorization. Fax to 844-929-9780 or mail to The Prudential Insurance Company of America, c/o Accenture Insurance Services, P.O. Box 71330, Philadelphia, PA 19176-1330. Online submissions are available at www.prudential.com/mybenefits.