Complete the form below and add your attachment(s) for secure delivery to our office.  Once you click the upload button, your information will be automatically delivered to CDA for review within the next 5 business days.

You may, alternatively, upload your documentation directly to the transaction in your Consumer Portal for expedited review.

Please remember, the following will not be eligible documentation types for transaction substantiation: payment only receipts, pre-payment/estimates, dental expenses when insurance is still pending, cash register receipts for prescriptions.