Before you file your Capital Health data breach settlement claim, you need to gather a few key items: your unique ID and PIN from the mailed notice, and if you plan to claim documented losses, any receipts, bank statements, or records showing out-of-pocket costs tied to the breach. Without the ID and PIN, you cannot submit a claim at all. Without supporting documents, you are limited to the flat payment of approximately $100 rather than the up to $5,000 available for documented losses.
The Capital Health settlement stems from a LockBit ransomware attack that knocked out the health system’s IT infrastructure from November 11 through November 26, 2023. The attackers exfiltrated roughly 7 terabytes of data, exposing names, Social Security numbers, dates of birth, addresses, email addresses, phone numbers, and clinical information belonging to more than 500,000 individuals. The resulting $4.5 million settlement fund is now open for claims, with a filing deadline of April 6, 2026. This article walks through exactly what documents to collect, how to organize them, file format requirements, and how to avoid common mistakes that could delay or sink your claim.
Table of Contents
- What Documents Do You Need for the Capital Health Settlement Claim Form?
- How to Locate Your Unique ID and PIN for the Capital Health Claim
- Filing for Documented Losses vs. the Flat Cash Payment
- How to Organize and Submit Your Supporting Documents
- Common Mistakes That Could Delay or Invalidate Your Claim
- What Happens After You File Your Claim
- Credit Monitoring and Looking Ahead
- Frequently Asked Questions
What Documents Do You Need for the Capital Health Settlement Claim Form?
The claim form itself is straightforward, but what you attach to it determines how much money you receive. If you are filing for the flat cash payment of roughly $100, you do not need any supporting documentation beyond completing the form with your personal information and the unique ID and PIN printed on your notice. That is the path of least resistance, and it makes sense for people who never noticed fraudulent activity or never paid for credit monitoring out of pocket. If you want to claim up to $5,000 in documented losses, the bar is higher. You need receipts for any fees you spent on identity theft mitigation or fraud resolution, such as notary costs, postage for dispute letters, or fees charged by an identity restoration service. You also need account statements showing unauthorized charges, with those charges clearly circled or highlighted.
Bank fees related to the breach, like overdraft charges triggered by fraudulent withdrawals or stop-payment fees, should be documented with the relevant statements. If you purchased credit reports, credit monitoring subscriptions, or identity theft insurance after the breach, keep those receipts as well. For example, if you signed up for a $29.99-per-month monitoring service in December 2023 and kept it for six months, that is roughly $180 in documented losses you can claim with the subscription confirmation and payment records. One important detail: you are allowed to redact information on your statements that is unrelated to the breach. You can also obscure all but the first four and last four digits of any account numbers. This protects your privacy while still giving the Settlement Administrator enough information to verify your claim.

How to Locate Your Unique ID and PIN for the Capital Health Claim
Every class member who received a notice by mail will find a unique ID and PIN printed on that document. These identifiers are required to file your claim, whether you submit online at capitalhealthdatabreachsettlement.com or by mail. Without them, the system cannot match your submission to the settlement records, and your claim will not go through. If you have already thrown away or lost the notice, do not assume you are out of luck.
Contact the Settlement Administrator through the official settlement website to request your credentials. However, if you never received a notice in the first place, that could mean you are not in the class, or it could mean the notice was sent to an outdated address. Capital Health’s breach affected patients and employees whose information was in the system during the November 2023 attack, so if you had any interaction with Capital Health around that time, it is worth checking your eligibility through the official site. Keep in mind that the Settlement Administrator may take days or weeks to respond, so do not wait until the last week before the April 6, 2026 deadline to start this process.
Filing for Documented Losses vs. the Flat Cash Payment
The settlement offers two tracks, and understanding the tradeoff between them matters. The flat payment of approximately $100 requires no documentation. You fill out the claim form, enter your ID and PIN, and submit. The amount is not guaranteed to be exactly $100 because it depends on how many people file claims from the settlement fund, but the estimate is based on typical participation rates in data breach cases like this one. The documented losses track lets you claim up to $5,000, but every dollar must be backed by paperwork.
Say you had $600 in fraudulent charges on a credit card, paid $45 in bank fees to resolve them, and spent $180 on a credit monitoring subscription. That is $825 in documented losses. You would need the credit card statement showing the charges, a record from your bank confirming the fees, and the monitoring service receipt. If you cannot produce documentation for a particular expense, do not include it in your claim amount. The Settlement Administrator has the authority to request additional documents and to reduce claims that are not adequately supported. Inflating your claim without backup will not get you more money; it will slow down the process or get your claim partially denied.

How to Organize and Submit Your Supporting Documents
Gathering your documents is half the battle. Formatting them correctly is the other half. Every file you upload to the settlement website must be under 20 MB and in one of these formats: jpg, jpeg, png, gif, tif, tiff, doc, docx, xls, xlsx, pdf, txt, rtf, or zip. If you are scanning paper receipts, PDF is the most reliable format. Phone photos saved as JPEGs work too, but make sure the text is legible and the image is not blurry or cropped. If you are filing online, you can upload each document individually.
If you have a stack of receipts and statements, consider scanning them into a single PDF organized chronologically, or bundling everything into a zip file. Just watch the 20 MB limit per file. A multi-page bank statement scanned at high resolution can easily hit that ceiling, so reduce your scan resolution to 200 or 300 DPI if file size becomes an issue. If you are mailing your claim instead, print the claim form from the settlement website, attach photocopies of your supporting documents, and send everything to the Settlement Administrator. The envelope must be postmarked by April 6, 2026. Online filing is faster and gives you an immediate confirmation, but mail is a valid option if you prefer paper.
Common Mistakes That Could Delay or Invalidate Your Claim
The most common error is missing the deadline. April 6, 2026 is a hard cutoff for both online submissions and mailed claims. There is no grace period, and late claims will not be considered. If you are mailing your form, account for postal delays and aim to send it at least a week early. Another frequent problem is submitting documents that do not clearly connect to the breach. A credit card statement from 2024 with no unauthorized charges highlighted does nothing for your claim.
The Settlement Administrator needs to see a direct link between the Capital Health breach and the expense you are claiming. If you paid for credit monitoring, include documentation showing when you signed up, ideally shortly after the breach notification, so the timeline supports your claim. Also be careful about submitting documents with fully visible Social Security numbers or full account numbers. You are permitted to redact these, and you should. Sending unredacted financial documents through any system, even a secure one, is an unnecessary risk. Finally, double-check that your contact information on the claim form matches what the Settlement Administrator has on file. A mismatch between your current address and the address where your notice was sent can trigger additional verification steps.

What Happens After You File Your Claim
Once your claim is submitted, the Settlement Administrator reviews it. They may approve it as-is, or they may contact you requesting additional documentation. If you filed for documented losses, expect closer scrutiny.
The final fairness hearing is scheduled for July 14, 2026, and payments will not be distributed until after that hearing concludes and the court gives final approval to the settlement. If you filed for the flat payment and your claim is straightforward, you likely will not hear anything until checks are mailed or electronic payments are processed after final approval. If you opted for documented losses, you could receive a follow-up request at any point before the hearing. Keep copies of everything you submitted so you can respond quickly if the administrator needs clarification.
Credit Monitoring and Looking Ahead
Beyond the cash payment, the settlement includes three years of free credit monitoring and identity protection services, valued at approximately $90 per year. This is separate from the cash claim and worth enrolling in, especially if your Social Security number was among the exposed data. A stolen Social Security number does not expire, and fraudulent use of it can surface years after a breach.
The Capital Health breach is part of a broader wave of ransomware attacks targeting healthcare organizations, where the combination of sensitive clinical data and operational urgency makes these institutions prime targets. If you were affected, filing this claim is a concrete step, but it should not be the only one. Freezing your credit with all three bureaus, monitoring your explanation of benefits statements for phantom medical claims, and staying alert to phishing attempts that reference Capital Health are all measures that outlast any settlement check.
Frequently Asked Questions
Do I need a lawyer to file a Capital Health settlement claim?
No. The claim form is designed for individuals to complete on their own. You simply need your unique ID and PIN from the mailed notice and any supporting documents if you are claiming documented losses.
What if I lost my settlement notice with the ID and PIN?
Contact the Settlement Administrator through the official settlement website at capitalhealthdatabreachsettlement.com to request your credentials. Do this well before the April 6, 2026 deadline since response times can vary.
Can I file for both the flat cash payment and documented losses?
No. You choose one track. If you have documented out-of-pocket expenses related to the breach, the documented losses claim up to $5,000 is the better option. If you have no documentation, the flat payment of approximately $100 requires only the completed claim form.
What counts as a documented loss for this settlement?
Expenses directly tied to the breach, including identity theft mitigation fees, credit monitoring or identity theft insurance you purchased, bank fees caused by fraudulent activity, and unauthorized charges on your accounts. You must provide receipts or statements as proof.
When will I receive my payment?
Payments will be distributed after the final fairness hearing on July 14, 2026, assuming the court grants final approval. The exact timeline after that depends on the Settlement Administrator’s processing schedule.
Is the $100 flat payment guaranteed to be exactly $100?
No. The amount is approximate and depends on how many class members file claims. If more people file than expected, the per-person amount could decrease. If fewer file, it could be slightly higher.
