FMLA and Disability

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FMLA & DISABILITY FORM INFORMATION

ORTHOCAROLINA HAS PARTNERED WITH SHARECARE FOR FMLA AND SHORT-TERM DISABILITY FORM COMPLETION

HOW TO SUBMIT FMLA/DISABILITY FORMS

Step 1: Patient MUST fill out Request for Form Completion (Authorization) and submit it along with your blank FMLA/Disability/Accidental Claim forms(s) to Sharecare.
- We recommend uploading all forms to the submission portal here for faster service and turnaround time.
  - If you are having trouble, reference the portal user guide.
- If you CANNOT use the online portal (or do not have your forms in a PDF):
  - Did you know that you can use your phone to take a picture of your form and turn it into a PDF? Instructions will follow.
  - You can FAX the Request for Form Completion and your blank FMLA/Disability/Accidental Claim forms to: 866-570-0729
Step 2: A Sharecare customer service representative will contact patient that a form was received and collect payment.
Step 3: Once payment is received. Sharecare will complete the form within 5-7 business days.
Step 4: Sharecare will deliver the completed form to the recipient notated on the authorization or the form.

IS THERE A FEE FOR HAVING MY FORMS COMPLETED?

Yes, there is a pre-payment fee of $30 for the first form plus any applicable sales tax. For each consecutive or subsequent FMLA or Disability form regarding the same qualifying condition and claim, a $15 fee will be assessed.

Payment

Payments can be made online. You will receive an email notification from Sharecare 2-3 business days after you have submitted your form. The e-mail will include a payment link that will direct you to pay on the Sharecare payment portal website at payonline.sharecare.com. ;You will be required to enter the invoice ID/request ID on the payment website. The invoice/Request ID appears on the billing notification e-mail and on any other e-mail notifications you receive from Sharecare.

HOW CAN I CHECK THE STATUS OF MY DISABILITY PAPERWORK?

Easily check online at Sharecare’s form tracker: recordstatus.sharecare.com

You will simply need to enter your date of birth, first and last name, and then click “search” to view all requests that you have submitted to Sharecare and their status.

**Please give 2 business days after your submission before attempting to track your request. You may also see other requests populate from prior form(s) submissions or from other entities like third-party requesters. Please note the date and the zip code of delivery provided, should there be multiple results.**

HELP / FREQUENTLY ASKED QUESTIONS (FAQ)