Josie, age 16 months, had a small tumor on her paw which the vet recommended be removed and tested. After this was done, I scanned and faxed the claim in on Monday, received a confirmation that day, received an approval email on Friday and had my reimbursement in hand by Monday. The next day I recieved a lovely email inquiring about Josie's condition and requesting a photo. Healthy Paw's customer service is top notch and I highly recommend them. Thank you Health Paws!!!