Auto Claims
Information, forms and documents available to businesses related to auto claims are listed below. All documents are in .pdf format and require Adobe Reader for downloading and printing:
Electronic Funds Transfers (EFT) are available for Medical Payment (MedPay) and Personal Injury Protection (PIP) Claims. The required EFT Authorization Form can be found below. This form must contain an original signature by the authorized representative of your company. You may fill out the form on-line, print, sign and submit electronically by converting to a pdf. You may also send the form back via fax or regular mail after signing.
Medical Provider EFT Program Information
PDF version
Medical Provider EFT Authorization Form
PDF version
W-9 Taxpayer Identification Number Request Form
PDF version
Progressive is able to assist Minnesota Providers in fulfilling the requirements set forth in the new Minnesota statutes, section 62J.536 effective 2009, requiring Progressive to accept electronic claims from all MN Health Care Providers beginning July 15, 2009. Please see the following document for additional information on eBill information and FAQ's.
Minnesota eBill Information and FAQs
PDF version
Progressive has a vested interest in providing our Claims Medical Providers with increased payment benefits in the very near future. These benefits would include EFT payments, plus Electronic Remittance Advice (ERA) & Explanation of Benefits (EOB). We are currently evaluating electronic document delivery options. To ensure that we are meeting the needs of our providers we ask that you take a few moments to fill out the following short survey.
Medical Provider Survey
PDF version
Please e-mail any questions and new or changed information for your company (i.e. name, address changes, TIN, contacts, or banking information) to cmp_supplier_support@progressive.com.
Any questions related specifically to a medical invoice or regarding a medical payment should be directed to the Claims Representative.
All forms and documents for existing Network Body Shops are listed below. All documents are in .pdf format and require Adobe Reader for download and printing.
Network Body Shop EFT Program Information
PDF version
Network Body Shop EFT Authorization Form
PDF version
Network Body Shop iSupplier External User Guide
PDF version
Network Body Shop iSupplier External User FAQs
PDF version
Network Body Shop Add-Delete User Form
PDF version
W-9 Taxpayer Identification Number Request Form
PDF version
Are you interested in becoming a Progressive Network Body Shop?
View Progressive Network Body Shops Information and Requirements.
Please e-mail any questions and new or changed information for your company (i.e. name, address changes, TIN, contacts, or banking information) to isuppliersupport@progressive.com.
Any questions related specifically to an estimate or regarding a claim payment should be directed to the Claims Representative.
Corporate Suppliers
All corporate supplier forms and documents are listed below. All documents are in .pdf format and require Adobe Reader for download and printing:
Corporate Supplier EFT Program Information
PDF version
Corporate Supplier EFT Authorization Form
PDF version
Corporate iSupplier User Guide
PDF version
Corporate iSupplier FAQs
PDF version
Corporate iSupplier Add-Delete User Form
PDF version
W-9 Taxpayer Identification Number Request Form
PDF version
Form W-8BEN - Certificate of Foreign Status of Beneficial Owner for US Tax Withholding
PDF version
Credit Letter
PDF version
Supplier Invoice Requirements
PDF version
Please e-mail any questions and new or changed information for your company (i.e. name, address changes, TIN, contacts, or banking information) to corp_supplier_support@progressive.com