Results for Claims Support (18)

Some medical items/devices require assessment to determine eligibility. To assess the item/device, we require an authorization form to be completed. Various authorization forms are available depending

When your pharmacy submits a medication claim, they indicate the number of tablets as well as the number of days that the prescription was written for you. Your benefit plan allows you to refill your

Certain benefits are only eligible when a participant has a qualifying medical condition.  Your claim did not pay because either a medical condition was not provided at time of claim submission, or

There are times when this information is incomplete or illegible, or the dentist’s office has different information on file than we have for the plan member or participant. Please ensure that the

A dental maximum is the dollar amount the plan will reimburse in the specified time period. Information regarding your dental maximum can be found on your explanation of benefits or in your benefit