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For Providers

Submit a Payment Request

Use our secure online form to submit invoices and payment requests. Our finance team reviews and processes approved claims within 5–10 business days.

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Complete the Form

Fill in patient details, treatment dates, diagnosis codes, and the invoice amount on the secure Zoho form.

Attach Documentation

Upload your itemised invoice, medical report, and a copy of the patient's Globily Smart Health Card.

Receive Payment

Our finance team reviews and processes approved claims. Payment is issued within 5–10 business days.

Provider Payment Request Form

Hosted securely on Zoho Forms

OPEN PAYMENT REQUEST FORM

What You Will Need

  • Patient full name and policy number
  • Date(s) of treatment
  • Itemised invoice with diagnosis / procedure codes
  • Copy of patient's Globily Smart Health Card
  • Medical report or discharge summary
  • Your facility's bank details (for first-time submissions)

Processing Time

Claims are reviewed within 2 business days of receipt. Payment is issued within 5–10 business days of approval. You will receive an email confirmation at each stage.

SUBMIT PAYMENT REQUEST

Questions About a Payment?

Our finance team is available Monday–Friday, 9am–5pm (GMT).

Globily

Contact Us

  • Inside USA 1 877 200 3066
  • International +719 266 2835
  • WhatsApp +719 203 7797
  • 102 South Tejon Street
  • Colorado Springs, CO 80903
  • USA
  • Mon - Fri, 9am - 5pm | Sat, 9am - 12pm

Globily is the brand name for customizable medical travel protection plans offered by Globalwide and its subsidiaries including Globalwide International LLC, Colorado license #966872. Plans consist of travel medical insurance underwritten by an authorized insurance carrier, as identified in the insurance policy if purchased. Other non-insurance assistance services are provided directly by Globalwide International LLC, and Globalwide Mediassist. The information on this website is provided for informational purposes only and does not include all terms, conditions, and exclusions of the travel insurance coverage. Some or all coverage may not be available in your state. Globily is a registered trademark in the U.S. Patent & Trademark Office, owned by Globalwide International LLC.

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