My cat was diagnosed with having stones. This meant several trips to the vet office for the exam, checkup and follow-up. With each visit, brought a new claim form to be filled out and submitted. However, the claim forms were easy to complete by updating my personal information and submitting to my vet for their information. My Vet faxing the information directly to Trupanion and I received an email directly from Trupanion that claim form has been received and submitted for processing. Within the next week or so, I received an email from Trupanion that my claim has been processed and payment is being sent. I was really surprised to see that my claim was processed really fast. I also had contact their customer service several times and they have been always very helpful and nice. They are truly a awesome company to deal with and would recommend to anyone in need of pet insurance!!!