Download it here. Complete the claim form above and submit it along with your test itemized receipt to the address: Claims Processing Kaiser Permanente P.O. Box 30766 Salt Lake City, UT 84130-0766 MedCall Healthcare Advisors, LLC Tax ID is 47-3681247.

After submitting your claim, you'll typically be reimbursed within 2-3 weeks. (Depending on your provider, it can be faster or slower.)