faq's

Health Benefits and Claims

How do I file a claim?

Depending on your specific medical plan, there are two ways to file a claim:

Through your health care provider:
Providers can forward claims to us electronically using the information found on your ID card or through the mail with standardized medical claim forms. Check with your provider to see if they file claims automatically on your behalf. If it is a paper claim send to the address on your ID card.

By mail:
If you have paid for charges at the time of service, but your health care provider will not submit the billing and you are eligible for reimbursement, you must first obtain an itemized statement of services from your provider. Make copies for yourself and mail the originals to us at the address on your ID card. You do not need to complete a claim form to submit your charges. Please make sure your personal identification number (PID), provider’s tax ID number, date of service, CPT codes and diagnosis codes appear on the statement from your provider.
Once the information is received by our office, the claim will be placed in the claim inventory queue and processed accordingly.

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