Claim Member Information
Payment Eligibility Information
Certify and Submit
This claim form should be completed if you received a notification from Navicent Health Inc. relating to a cyberattack against Navicent’s computer systems that occurred in July 2018 (the “Data Incident”), and you had out-of-pocket expenses, fraudulent charges, lost time spent dealing with the Data Incident, or unreimbursed extraordinary monetary losses as a result of the Data Incident. You may get a payment if you complete this claim form, if the settlement is approved, and if you are found to be eligible for a payment.