What does Bankers Life need with a long-term care bill?
Bankers Life wants an itemized bill showing dates of service, cost per service, and units per service. For a nursing home or assisted living, it also needs a new Proof of Residence form (form 186484) every month, completed on or after the last day of that month. It rejects photocopies of a prior month's form. Don't send a month's charges until that month is over.
Weekly caregiver timesheet, monthly summary, care notes, proof of payment log, cover and follow-up letters, and a Bankers Life send-to checklist. 11-page PDF.
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bankerslife.com/service-support/document-upload/312-396-5952Bankers Life and Casualty Company, Policy Benefits Department, P.O. Box 1902, Carmel, IN 46082-1902800-621-3724 (8:00 to 4:30 CT)What Bankers Life asks for
- An itemized bill (UB-04, UB-92 or HCFA-1500) with dates of service, cost per service, and units per service.
- Diagnosis and CPT codes, a copy of the provider's license, and the plan of treatment (provider FAQ).
- A Medicare or other government insurance explanation of benefits, when it applies.
- For facilities: an original Proof of Residence form 186484 each month, completed on or after the last day of the month.
- Charges for a month sent only after that month ends.
The gaps we check for before it goes out
Bills sent before the month ends, a photocopied Proof of Residence form, and bills that aren't itemized by service and units.
Questions
When can I send Bankers Life a month's long-term care bill?
After the month ends. Bankers Life gives the example of June charges sent no earlier than July 1.
Does Bankers Life accept a photocopied Proof of Residence form?
No. It asks for a new form each month, completed on or after the last day of the month.
Source: Bankers Life's own claims pages (bankerslife.com claim form 15626 and provider FAQ), checked October 23, 2026. Your claim approval letter overrides anything general here. If something doesn't match what you were told, call 800-621-3724.