Common use of How to File Claims Clause in Contracts

How to File Claims. ‌‌‌ 1. A Claim is written or electronic proof that You were charged for services You received while You were covered under this Plan. You must file Claims within 90 days from the date services were rendered, unless it is not reasonably possible to do so. In no event may any Claim be filed later than 15 months from the date services were rendered. We will not pay Benefits if You or Your Providers file a Claim more than 15 months after You receive services. 2. Contract provisions that are in effect when You receive services or treatments govern how We process Your Claim. 3. When We receive a notice of Claim, We will send You the appropriate forms. If We do not send those forms within 15 days after receiving Your notice, We will consider that You have complied with the Plan’s requirements to prove loss within the time fixed in this Plan. 4. To file Claims for Prescription Drug Benefits, You must use the Prescription Drug Claim Form or an attachment that We accept. After the form is completed and signed by Your pharmacist, send it to Us at: Blue Cross and Blue Shield of Louisiana P.O. Box 98029 Baton Rouge, LA 70898-9029 5. If the laws of the state, district, or territory in which You lived when We issued the Contract give You more time to notify Us, send Us a Claim, or bring suit, then We will extend the time period to follow those laws.

How to File Claims. ‌‌‌ 1. A Claim is written or electronic proof that You were charged for services You received while You were covered under this Plan. You must file Claims within 90 days from the date services were rendered, unless it is not reasonably possible to do so. In no event may any Claim be filed later than 15 months from the date services were rendered. We will not pay Benefits if You or Your Providers file a Claim more than 15 months after You receive services. 2. Contract provisions that are in effect when You receive services or treatments govern how We process Your Claim. 3. When We receive a notice of Claim, We will send You the appropriate forms. If We do not send those forms within 15 days after receiving Your notice, We will consider that You have complied with the Plan’s requirements to prove loss within the time fixed in this Plan. 4. To file Claims for Prescription Drug Benefits, You must use the Prescription Drug Claim Form or an attachment that We accept. After the form is completed and signed by Your pharmacist, send it to Us at: Blue Cross and Blue Shield of Louisiana P.O. Box 98029 Baton Rouge, LA 70898-9029 5. If the laws of the state, district, or territory in which You lived when We issued the Contract give You more time to notify Us, send Us a Claim, or bring suit, then We will extend the time period to follow those laws.

How to File Claims. ‌‌‌ 1. A Claim is written or electronic proof that You were charged for services You received while You were covered under this Plan. You must file Claims within 90 days from the date services were rendered, unless it is not reasonably possible to do so. In no event may any Claim be filed later than 15 months from the date services were rendered. We will not pay Benefits if You or Your Providers file a Claim more than 15 months after You receive services. 2. Contract provisions that are in effect when You receive services or treatments govern how We process Your Claim. 3. When We receive a notice of Claim, We will send You the appropriate forms. If We do not send those forms within 15 days after receiving Your notice, We will consider that You have complied with the Plan’s requirements to prove loss within the time fixed in this Plan. 4. To file Claims for Prescription Drug Benefits, You must use the Prescription Drug Claim Form or an attachment that We accept. After the form is completed and signed by Your pharmacist, send it to Us at: Blue Cross and Blue Shield of Louisiana P.O. Box 98029 Baton Rouge, LA 70898-9029 5. If the laws of the state, district, or territory in which You lived when We issued the Contract give You more time to notify Us, send Us a Usa Claim, or bring suit, then We will extend the time period to follow those laws.