Contact Us: EOB Request

Notification:
Effective April 1, 2025, McLaren Health Plan is updating the CONNECT portal for Members and Providers. On April 1, 2025, all users must re-register and create a new account to access the portal.

DataSource: Incorrect syntax near ')'. Incorrect syntax near the keyword 'WHERE'. Incorrect syntax near ')'.

*Indicates required information

First Name: *

Last Name: *

Date of Birth (xx/xx/xx): *

Address: *

City: *

Zip Code: *

Email Address: *

Phone: *

Enter Type of Health Insurance: *

Commericial

Medicaid

Employer Name:

Member identification Number found on Card or Social Security Number if Member ID is unknown:

For EOB requests, please provide date of service: *

For EOB requests, please provide provider name: *

Captcha*