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 Your Name Your Email Provider Name Member Name Member ID #: Member DOB: Date of service: Billed amount Select the CHA coverage type for this member * Primary Secondary Comments Captcha Submit Clear If you are human, leave this field blank.