Reserve National Insurance Company Reserve National: A Kemper Life and Health Company. Call Us Toll Free at 800.654.9106
Please submit your claims to:

Reserve National Insurance Co.

PO BOX 26620

Oklahoma City, OK 73126

Claim Forms:
Reserve National Insurance Claim Form 
Should be filled out completely and submitted with the physician and/or hospital bill. See the Notice to Residents on page 2 of the claim form.

Home Health Certification Claim Form
Physician's Home Health Care Certification claim form, see the Notice to Residents on page 2 of the claim form.

If you are resident in Texas, please download the state specific form by clicking on your state name.

HIPAA Transactions
Providers who send electronic transmissions directly to Reserve National Insurance Company must test for HIPAA compliance before they can transmit. To initiate testing of HIPAA compliant transactions sets. Please download the Connectivty Request Form and submit the completed form. You may fax the form to 1.877.877.0078 or email the completed form to
The Reserve National Insurance electronic payer ID is 73066 for Medical claims.
Medical claims
Clearinghouse Payer ID #
Smart Data Solutions 73066
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