Common use of Claims Generally Clause in Contracts

Claims Generally. Network Providers will file claims directly with the Plan. Members may need to submit a claim for reimbursement for services from a Non-Network Provider. Time Limits for Post-Service Claims: Health Options must receive a claim within 120 days after receiving a service or item covered by the Plan or as soon as reasonably possible after the 120 days if it is not reasonably possible to submit notice within the 120 days. A claim sent to Community Health Options® at 000 Xxxx Xx, 0xx Xxxxx, Xxxxxxxx, XX 00000, or to any authorized agent of Health Options, with information sufficient to identify the Member, shall be deemed notice to Health Options. You may obtain a medical or prescription drug claim form at xxx.xxxxxxxxxxxxx.xxx or by calling Member Services at 1-855-624-6463 (TTY/TDD: 711). The form will include instructions on what information you will need to submit to the Plan so that the Plan can make a decision on the claim. Please return the completed claim form along with copies of any receipts or invoices to the address on the form. If we do not furnish these forms to you within 15 days after we receive your request, you may meet the proof requirements by giving us a written statement of the nature and extent of the claim within 120 days after the service is rendered. Benefits will be paid to the Member who received the services for which a claim is made unless the Member is a minor. In this case, Benefits will be paid to the parent or custodian with whom the minor resides. The Member may authorize Health Options to pay Benefits directly to the Provider who charged for the service subject to the claim. Any payment made by Health Options in accordance with the terms of this Agreement will discharge Health Options from all further liability to the extent of such payment.

Claims Generally. Network Providers will file claims directly with the Plan. Members may need to submit a claim for reimbursement for services from a Non-Network Provider. SAMPLE Time Limits for Post-Service Claims: Health Options must receive a claim within 120 days after receiving a service or item covered by the Plan or as soon as reasonably possible after the 120 days if it is not reasonably possible to submit notice within the 120 days. A claim sent to Community Health Options® at 000 Xxxx Xx, 0xx Xxxxx, Xxxxxxxx, XX 00000, or to any authorized agent of Health Options, with information sufficient to identify the Member, shall be deemed notice to Health Options. You may obtain a medical or prescription drug claim form at xxx.xxxxxxxxxxxxx.xxx or by calling Member Services at 1-855-624-6463 (TTY/TDD: 711). The form will include instructions on what information you will need to submit to the Plan so that the Plan can make a decision on the claim. Please return the completed claim form along with copies of any receipts or invoices to the address on the form. If we do not furnish these forms to you within 15 days after we receive your request, you may meet the proof requirements by giving us a written statement of the nature and extent of the claim within 120 days after the service is rendered. Benefits will be paid to the Member who received the services for which a claim is made unless the Member is a minor. In this case, Benefits will be paid to the parent or custodian with whom the minor resides. The Member may authorize Health Options to pay Benefits directly to the Provider who charged for the service subject to the claim. Any payment made by Health Options in accordance with the terms of this Agreement will discharge Health Options from all further liability to the extent of such payment.

Claims Generally. Network Providers will file claims directly with the Plan. Members may need to submit a claim for reimbursement for services from a Non-Network Provider. Time Limits for Post-Service Claims: Health Options must receive a claim within 120 days after receiving a service or item covered by the Plan or as soon as reasonably possible after the 120 days if it is not reasonably possible to submit notice within the 120 days. A claim sent to Community Health Options® at 000 Xxxx Xx, 0xx Xxxxx, Xxxxxxxx, XX 00000, or to any authorized agent of Health Options, with information sufficient to identify the Member, shall be deemed notice to Health Options. You may obtain a medical or prescription drug claim form at xxx.xxxxxxxxxxxxx.xxx or by calling Member Services at 1-855-855- 624-6463 (TTY/TDD: 711). The form will include instructions on what information you will need to submit to the Plan so that the Plan can make a decision on the claim. Please return the completed claim form along with copies of any receipts or invoices to the address on the form. If we do not furnish these forms to you within 15 days after we receive your request, you may meet the proof requirements by giving us a written statement of the nature and extent of the claim within 120 days after the service is rendered. Benefits will be paid to the Member who received the services for which a claim is made unless the Member is a minor. In this case, Benefits will be paid to the parent or custodian with whom the minor resides. The Member may authorize Health Options to pay Benefits directly to the Provider who charged for the service subject to the claim. Any payment made by Health Options in accordance with the terms of this Agreement will discharge Health Options from all further liability to the extent of such payment.

Claims Generally. Network Providers Provider s will file claims directly with the Plan. Members may need to submit a claim for reimbursement for services from a Non-Non - Network ProviderProvider . Time Limits for Post-Post- Service Claims: Health Options must receive a claim within 120 days after receiving a service or item covered by the Plan or as soon as reasonably possible after the 120 days if it is not reasonably possible to submit notice within the 120 days. A claim cl aim sent to Community Health OptionsOptions ® at 000 Xxxx Xx, 0xx Xxxxx, Xxxxxxxx, XX 00000, or to any authorized agent of Health Options, with information sufficient to identify the Member, shall be deemed notice to Health Options. You may obtain a medical or prescription pr escription drug claim form at xxx.xxxxxxxxxxxxx.xxx or by calling Member Services at 1-855-624-1 - 855 - 624 - 6463 (TTY/TTY/ TDD: 711). The form will include instructions on what SAMPLE information you will need to submit to the Plan so that the Plan can make a decision on the claim. clai m. Please return the completed claim form along with copies of any receipts or invoices to the address on the form. If we do not furnish these forms to you within 15 days after we receive your request, you may meet the proof requirements by giving us a written statement of the nature and extent of the claim within 120 days after the service is rendered. Benefits will be paid to the Member who received the services for which a claim is made unless the Member is a minor. In this case, Benefits will be paid pai d to the parent or custodian with whom the minor resides. The Member may authorize Health Options to pay Benefits directly to the Provider who charged for the service subject to the claim. Any payment made by Health Options in accordance with the terms of this Agreement will discharge Health Options from all further liability to the extent of such payment.

Claims Generally. Network Providers will file claims directly with the Plan. Members may need to submit a claim for reimbursement for services from a Non-Network Provider. Time Limits for Post-Service Claims: Health Options must receive a claim within 120 days after receiving a service or item covered by the Plan or as soon as reasonably possible after the 120 days if it is not reasonably possible to submit notice within the 120 days. A claim sent to Community Health Options® at 000 Xxxx Xx, 0xx Xxxxx, Xxxxxxxx, XX 00000, or to any authorized agent of Health Options, with information sufficient to identify the Member, shall be deemed notice to Health Options. You may obtain a medical or prescription drug claim form at xxx.xxxxxxxxxxxxx.xxx or by calling Member Services at 1-855-855- 624-6463 (TTY/TDD: 711). The form will include instructions on what information you will need to submit to the Plan so that the Plan can make a decision on the claim. Please return the completed claim form along with copies of any receipts or invoices to the address on the form. If we do not furnish these forms to you within 15 days after we receive your request, you may meet the proof requirements by giving us a written statement of the nature and extent of the claim within 120 days after the service is rendered. Benefits will be paid to the Member who received the services for which a claim is made unless the Member is a minor. In this case, Benefits will be paid to the parent or custodian with whom the minor resides. The Member may authorize Health Options to pay Benefits directly to the Provider who charged for the service subject to the claim. Any payment made by Health Options in accordance with the terms of this Agreement will discharge Health Options from all further liability to the extent of such payment.. SAMPLE

Claims Generally. Network Providers will file claims directly with the Plan. Members may need to submit a claim for reimbursement for services from a Non-Network Provider. Time Limits for Post-Service Claims: Health Options must receive a claim within 120 days after receiving a service or item covered by the Plan or as soon as reasonably possible after the 120 days if it is not reasonably possible to submit notice within the 120 days. A claim sent to Community Health Options® at 000 Xxxx Xx, 0xx Xxxxx, Xxxxxxxx, XX 00000ME 04240, or to any authorized agent of Health Options, with information sufficient to identify the Member, shall be deemed notice to Health Options. You may obtain a medical or prescription drug claim form at xxx.xxxxxxxxxxxxx.xxx or by calling Member Services at 1-855-624-6463 (TTY/TDD: 711). The form will include instructions on what information you will need to submit to the Plan so that the Plan can make a decision on the claim. Please return the completed claim form along with copies of any receipts or invoices to the address on the form. If we do not furnish these forms to you within 15 days after we receive your request, you may meet the proof requirements by giving us a written statement of the nature and extent of the claim within 120 days after the service is rendered. Benefits will be paid to the Member who received the services for which a claim is made unless the Member is a minor. In this case, Benefits will be paid to the parent or custodian with whom the minor resides. The Member may authorize Health Options to pay Benefits directly to the Provider who charged for the service subject to the claim. Any payment made by Health Options in accordance with the terms of this Agreement will discharge Health Options from all further liability to the extent of such payment.