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Your health and well-being are our top priorities. This resource center is designed to provide you with easy access to the tools, information and support you need to make informed decisions about your care. Whether you're looking for coverage details through the Self-Service portal, wellness programs, provider directories or help navigating your benefits, everything you need is just a click away.
For additional assistance, our customer advocates are here to help from 8 a.m.-4:30 p.m. Monday-Friday (CST). Call 800-825-7531 or email [email protected]. |
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Appeals
Learn more about the process for appealing
a claim. |
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If your claim was denied, don’t worry—you have options, and we’re here to help. There are two forms when it comes to appeals: Claim Appeal and Healthcare Management Appeal. While they sound similar, here’s what they mean:
For compliance, both terms apply—even though the forms look the same, you need to fill out and send in both. |
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Where do I search for providers?
Click here to search for high quality providers near you. How do I access my self-serve portal? Click here to access your self-serve portal and view your benefits; download your digital PDF ID cards; view your claims status and more. I Lost My ID CARD? How Do I Order a New One? Call us at the number shown on the back of your ID card to order a new one. What is Pre-Notification? Pre-notification is a process where a provider or patient informs our healthcare management team before certain medical services are performed. It helps our nurses coordinate treatment plans with doctors and make sure patients have access to the best healthcare possible and the most affordable price. How do I file claims? A claim should be filed when you or a dependent incurs medical expenses that are eligible for coverage. It is customary that medical providers submit claims to the address shown on your member ID card on your behalf as a courtesy to the patient. If you need to manually submit a paper claim or a request for reimbursement, please contact our Customer Service team for assistance. You can find the appropriate contact information on your member ID card. How do I view my benefits? You can view your benefits on your member self-serve portal. How do I read my Explanation of Benefits (EOB)? Glad you asked. Because we know EOBs can be complex to understand, we created a dedicated educative page to it – see it here! What do I do if I’m balance billed by my provider? We’re here to help! Our Freedom plans are equipped with balance bill protection. If you ever face a balance bill situation:
Quick tip: Respond promptly to any requests for information so we can resolve your bill as fast as possible. How do I add dependents to my plan? Missing info. Ask Kelly or Kayle //////////////////////////////// I’m overwhelmed by healthcare and not sure what to do? Call us at 800-825-7531! We get it. Healthcare is complicated and we are here to simplify it for you. Our U.S.-based advocates are here to help you navigate your health plan, and ensure you have access to the absolute best, affordable, health care possible. |
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