I called trupanion the day after my german shepherd puppy was released from the hospital. Trupanion told me that the pet hospital had already faxed them our claim form and there was nothing more for me to do. 3 days later I received an email that stated that my claim wAs accepted and that I should expect a check in the mail soon. 4 business days later I received a check that covered all the expenses that were promised in my policy. I was extremely pleased with how easy and fast trupanion is to deal with.