Filing Claims for Reimbursement of Eligible Expenses from Non-Network Providers Sample Clauses

Filing Claims for Reimbursement of Eligible Expenses from Non-Network Providers. The Primary Insured is responsible for sending a request for reimbursement to The Company’s office. Any outpatient claim must be submitted in original along with all related test results, itemized cost & medical report that has been completed by the attending Physician of the Covered Person. Requests for reimbursement should be submitted within 30 days after the date of service. Unless the Primary Insured is legally incapacitated, failure to provide this information to The Company within this timeframe shall cancel Coverage for that service. Reimbursement for Covered Services will be made directly to the Primary Insured.
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Related to Filing Claims for Reimbursement of Eligible Expenses from Non-Network Providers

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