Trupanion troubleshooting If you have problems with Trupanion, use this troubleshooting information. You cannot select the SEND PRE-APPROVAL button that shows in an estimate screenParent topic: TrupanionRelated conceptsAbout the Trupanion integrationTrupanion and data securityProcedure: Trupanion with payment methods for insurance benefitsPatient record information about insurance program offersSupport webinar: Workflows of the Trupanion integrationAbout configuration of the Trupanion integrationRelated tasksSend a Trupanion e-claim from a clinical recordRelated informationExam Day Offers and insurance eligibility informationInsurance pre-approvals