Submit a claim
  1. Submitting a claim is easy

    As an Armor Systems customer, you can easily submit new claims for collection.

    To begin, please enter your Customer Name and Customer Number for identification.

    New customers can call 800-785-8551 to enroll with our service and receive their account number for online claims submission.

  2. Your Company Name*
    Please type your company name.
  3. Your Account Number *
    Please type your account number.
  4. A note about security: Armor Systems takes the security of your account seriously. In addition to the procedures we employ in our office, our website is protected by an SSL certificate to make sure that your information is secure while being sent. You will see a "lock" symbol in the lower corner of your browser to verify the page is secured.
  1. Guarantor Information

  2. First Name*
    Please type your first name.
  3. Last Name*
    Please type your last name.
  4. Address*
    Please type your address name.
  5. Address 2
    Invalid Input
  6. City*
    Please type your city's name.
  7. State*
    Please select your state.
  8. Zip*
    Please type your zipcode.
  9. Social Security No.
    Invalid SSN. Please type it either in the format 123-12-1234 or 123121234.

    eg. 000-00-0000

  10. Date of Birth
    Invalid Input
  11. Home Phone
  12. Work Phone
  13. Employer Name
    Please type in your employer's name.
  1. Guarantor Account Information

  2. Account Number
    Please type the Guarantor's Account Number.
  3. Date of Last Service*

    Please select date
  4. Amount Due*
    Invalid amount, please input the amount due.
    in USD
  5. Spouse's Name
    Invalid Input
  6. Patient First Name
  7. Patient Last Name
    Invalid Input
  8. Patient Date of Birth
    Invalid Input
  9. Please check all that apply.
  10. Invalid Input
  11. Location of Services Provided
    Invalid Input
  12. Comments
    Invalid Input