CHA Claim Status Form

Email Form

Claim Status Request Form

Please use this secure form to request claim status, or use one of these additional options:

Email: claimstatus@cha.faith

Fax: 888-977-8826

CHA Coverage Type
Note: Please submit Primary and Secondary Requests separately, Thank you!

In the section below, please enter each member's information for which the status is being requested:

Member Information