FMLA and Disability

• Step 1: Patient MUST fill out Request for Form Completion (Authorization) and submit it along with your blank FMLA/Disability/Accidental Claim forms(s) to Sharecare. 
  • We recommend uploading all forms to the submission portal here for faster service and turnaround time.  
    • If you are having trouble, reference the portal user guide. 
  • If you CANNOT use the online portal (or do not have your forms in a PDF):
    • Did you know that you can use your phone to take a picture of your form and turn it into a PDF? Instructions will follow.
    • You can FAX the Request for Form Completion and your blank FMLA/Disability/Accidental Claim forms to: 866-570-0729
• Step 2: A Sharecare customer service representative will contact patient that a form was received and collect payment. 
• Step 3: Once payment is received. Sharecare will complete the form within 2-3 business days. 
• Step 4: Sharecare will deliver the completed form to the recipient notated on the authorization or the form. 

Yes, there is a pre-payment fee of $25 for the first form plus any applicable sales tax. For each consecutive or subsequent FMLA or Disability form regarding the same qualifying condition and claim, a prepayment fee of $25 will be assessed.

Payment

Payments can be made online.  You will receive an email notification from Sharecare 2-3 business days after you have submitted your form. The e-mail will include a payment link that will direct you to pay on the Sharecare payment portal website at payonline.sharecare.com. ;You will be required to enter the invoice ID/request ID on the payment website. The invoice/Request ID appears on the billing notification e-mail and on any other e-mail notifications you receive from Sharecare.

Easily check online at Sharecare’s form tracker: recordstatus.sharecare.com

You will simply need to enter your date of birth, first and last name, and then click “search” to view all requests that you have submitted to Sharecare and their status.

**Please give 2 business days after your submission before attempting to track your request. You may also see other requests populate from prior form(s) submissions or from other entities like third-party requesters. Please note the date and the zip code of delivery provided, should there be multiple results.**

Form Completion Process FAQ

The FAQ will help guide you through your FMLA/Disability or accident claim.

What is Sharecare, and what exactly do they do?
Sharecare is a health information management company contracted with OrthoCarolina to provide services, including the completion of Disability and FMLA form paperwork.

How do I submit my FMLA or Disability paperwork?
There are several ways to get information to Sharecare:

• Return the form to the practice where you are seen
• Fax form to 866-570-0729

Is there a fee to have my forms completed?
Yes, there is a pre-payment fee of $25 for the first form plus any applicable sales tax.

If I need another form completed to continue my disability claim, will I have to make another payment?
Yes, a pre-payment fee of $25 per form plus any applicable sales tax for each consecutive or subsequent FMLA or Disability form regarding the same qualifying condition and claim.

How can I pay for my forms?
There are various ways to pay for your form:

• Pay Online:
  • Suppose you have provided a valid email address on your authorization form. In that case, you will receive an email notification with a payment link that will direct you to pay on the Sharecare payment portal website.
  • If you did not provide an email address on your authorization form or cannot locate the email notification, you could pay online at payonline.hds.sharecare.com. You will need your Request ID to make the payment.
• Pay by Phone:
  • Contact the Sharecare Forms Department at 866-273-4039. We like to make it as easy and convenient as possible for you. We accept all major credit cards. We do not accept HSA cards as a payment method.

What is a Request ID?
A Request ID is a unique ID specific to the individual patient and form being completed. Sharecare assigns the ID, and if you are unable to locate it, you can contact Sharecare for assistance at 866- 273-4039.

Do I need to sign an authorization form even if I want the form sent back to me?
Yes, we would like all the patients to fill out a Request for Form Completion document when requesting a form to be completed. This document provides the team with information on where and how to send the form. Also, if a disability insurance company calls, we cannot give any information without consent, thus delaying your claim with your disability company. In addition, this document asks for the patient to identify the treating provider, injury/problem date, and last day worked, which will aid in completing your form.

I do not use email or know my Request ID number. How can I get status updates on the completion of my form?
You can contact the Sharecare Forms Department at 866-273-4039 for the status of your form, as well as the Request ID number associated with your form.

I need to update the information on my FMLA or Disability paperwork. What do I need to do?
We understand that FMLA forms, as well as disability determinations, may require an update of your medical information from your recent doctors' visit. You will need to re-submit the new paperwork to OrthoCarolina for Sharecare to complete in such cases. There will be a fee of $25.00 required for any updates requested.

When will I receive my completed forms?
Please allow 48 hours for Sharecare to receive your form from the time you submit it to OrthoCarolina. Once payment is received, it may take up to 2-3 business days to deliver the completed form(s). It is imperative to submit all information and make the pre- payment as soon as possible; failure to do so will delay the process.

I submitted my paperwork but no longer need it to be completed. How can I cancel it?
You can contact the Sharecare Forms Department at 866-273-4039 for assistance.

I still have questions?
Please reach out to our team at Sharecare, and we are happy to discuss any questions you might have. Contact us at 866-273-4039.

Sharecare Customer Service can be reached at 866-273-4039.