How to File Insurance Claims for Benefits Sample Clauses

How to File Insurance Claims for Benefits. The Company and most Providers have entered into agreements that eliminate the need for a Subscriber to personally file a Claim for Benefits. Preferred or Participating Providers will file Claims for Subscribers either by mail or electronically. In certain situations, the Provider may request the Subscriber to file the Claim. If the Subscriber’s Provider does request them to file directly with Us the following information will help the Subscriber in correctly completing the Claim form. If You need to file a paper Claim, send it to: Blue Cross and Blue Shield of Louisiana P.O. Box 98029 Baton Rouge, LA 98029-9029 The Subscriber’s Blue Cross and Blue Shield ID card shows the way the name of the Subscriber (Subscriber of the University) appears on Our records. The ID card also lists the Subscriber’s Benefit Plan number (ID #). This number is the identification to the Subscriber’s membership records and should be provided to Us each time a Claim is filed. To assist in promptly handling the Subscriber’s Claims, please be sure that:
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How to File Insurance Claims for Benefits. The Company and most Providers have entered into agreements that eliminate the need for a Member to personally file a Claim for Benefits. Participating Providers will file Claims for Members either by mail or electronically. In certain situations, the Provider may request the Member to file the Claim. If the Member’s Provider does request the Member to file directly with the Company, the following information will help the Member in correctly completing the Claim form. If You need to file a paper claim, send it to: United Concordia Dental Claims Department P.O. Box 69441 Harrisburg, PA 17106-9441 The Member’s Blue Cross and Blue Shield Identification Card (ID card) shows the way the name of the Subscriber (Member of the Group) appears on the Company records. (If the Member has Dependent coverage, the name(s) are recorded as the Member wrote them on his enrollment form.) The ID card also lists the Member’s contract number (ID #). This number is the identification to the Member’s membership records and should be provided to UCD each time a Claim is filed. If the Subscriber completes the Claim form and this is a Group plan, remember: the Subscriber is the employee Member (if this is a group contract). If the Subscriber is the patient, the relationship is SELF. If the Subscriber’s wife or husband is the patient, the relationship is SPOUSE. To assist in promptly handling the Member’s Claims, the Member must be sure that: an appropriate Claim form is used this contract number (ID #) shown on the form is identical to the number on the ID card the patient's date of birth is listed the patient's relationship to the Subscriber is correctly stated all charges are itemized, whether on the Claim form or on the attached statement the date of service or date of treatment is correct the Provider includes a diagnosis and procedure code for each service/treatment rendered (the diagnosis code pointers must be consistent with the Claim form) the Claim is completed and signed by the Member and the Provider.
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How to File Insurance Claims for Benefits. The Claims Administrator and most Providers have entered into agreements that eliminate the need for a Plan Participant to personally file a Claim for Benefits. Participating Providers will file Claims for Plan Participants either by mail or electronically. In certain situations, the Provider may request the Plan Participant to file the Claim. If the Plan Participant’s Provider does request the Plan Participant to file directly with the Claims Administrator, the following information will help the Plan Participant in correctly completing the Claim form. If You need to file a paper Claim, send it to: United Concordia Dental Claims Department P.O. Box 69441 Harrisburg, PA 17106-9441 The Plan Participant’s ID card shows the way the name of the Employee (Plan Participant of the Group) appears on the Claims Administrator’s records. (If the Plan Participant has Dependent coverage, the name(s) are recorded as shown on the enrollment information the Plan received.) The ID card also lists the Plan Participant’s contract number (ID #). This number is the identification to the Plan Participant’s membership records and should be provided to the Claims Administrator each time a Claim is filed. To assist in promptly handling the Plan Participant’s Claims, the Plan Participant must be sure that:
Sample 1Sample 2Sample 3
How to File Insurance Claims for Benefits. The Company and most Providers have entered into agreements that eliminate the need for a Member to personally file a claim for Benefits. Preferred and Participating Providers will file Claims for Members either by mail or electronically. In certain situations, the Provider may request the Member to file the claim. If Your Provider does request You to file directly with the Company, the following information will help You in correctly completing the claim form. Your Blue Cross and Blue Shield of Louisiana ID Card shows the way the name of the Subscriber (Member of the Group) appears on the Company records. (If You have Dependent coverage, the name(s) are recorded as You wrote them on Your application card.) The ID Card also lists Your Contract number (ID #). This number is the identification to Your membership records and should be provided to Us each time a claim is filed. To assist in promptly handling Your Claims, please be sure that:
Sample 1
How to File Insurance Claims for Benefits. The Company and most Providers have entered into agreements that eliminate the need for a Member to personally file a Claim for Benefits. Participating Providers will file Claims for Members either by mail or electronically. In certain situations, the Provider may request the Member to file the Claim. If the Member’s Provider does request the Member to file directly with the Company, the following information will help the Member in correctly completing the Claim form. If You need to file a paper claim, send it t o: United Concordia Dental Claims Department X.X. Xxx 00000 Xxxxxxxxxx, XX 00000-0000 The Member’s Blue Cross and Blue Shield Identification Card (ID card) shows the way the name of the Subscriber (Member of the Group) appears on the Company records. (If the Member has Dependent coverage, the name(s) are recorded as the Member wrote them on his enrollment form.) The ID card also lists the Member’s contract number (ID #). This number is the identification to the Member’s membership records and should be provided to UCD each time a Claim is filed. If the Subscriber completes the Claim form and this is a Group plan, remember: the Subscriber is the employee Member (if this is a group contract). If the Subscriber is the patient, the relationship is SELF. If the Subscriber’s wife or husband is the patient, the relationship is SPOUSE. To assist in promptly handling the Member’s Claims, the Member must be sure that:
Sample 1
How to File Insurance Claims for Benefits. The Company and most Providers have entered into agreements that eliminate the need for a Member to personally file a Claim for Benefits. Preferred and Participating Providers will file Claims for Members either by mail or electronically. In certain situations the Provider may request the Member to file the Claim. If Your Provider does request You to file directly with the Company the following information will help You in correctly completing the Claim form. Your Blue Cross and Blue Shield of Louisiana ID card shows the way the name of the Subscriber (Member of the Group) appears on the Company records. (If You have Dependent coverage, the name(s) are recorded as You wrote them on Your application card.) The ID card also lists Your Contract number (ID). This number is the identification to Your membership records and should be provided to Us each time a Claim is filed. To assist in promptly handling Your Claims, please be sure that:
Sample 1

Related to How to File Insurance Claims for Benefits

  • Claims Submission We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract.

  • Procedure for Benefits Modifications 1. Proposals for major retirement benefit modifications will be negotiated in joint meetings with the certified employee organizations whose memberships will be directly affected. Agreements reached between Management and organizations whereby a majority of the members in LACERS are affected shall be recommended to the City Council by the CAO as affecting the membership of all employees in LACERS. Such modifications need not be included in the MOU in order to be considered appropriately negotiated.

  • Claims Administrator A. The Human Resources Director through his/her designated Claims Administrators shall administer the provision of this policy. The City Physician shall provide the City's Claims Administrators with all available medical information concerning the Employee's injury and/or medical opinions as requested. Medical information and opinions shall be based upon the Employee's medical records and/or physical examination. Questions of Employee eligibility shall be determined by the provisions established under State Statute 49-110, 49-111 and Oklahoma Worker's Compensation Title 85. Prior to any denial of injury leave benefits where lost time actually occurred, the administrator shall notify Union and allow a Union representative the opportunity to review the application pending denial and provide any additional information relating to same as may be necessary. Should the City change designated Claims Administrators Local 176 will be notified in writing.

  • Denial of Benefits Subject to prior notification and consultation, a Party may deny the benefits of this Chapter to: (a) investors of the other Party where the investment is being made by a enterprise that is owned or controlled by persons of a third State and the enterprise has no substantive business activities in the territory of the other Party; or (b) investors of the other Party where the investment is being made by a enterprise that is owned or controlled by persons of the denying Party.

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