Below are some of the most commonly asked questions by our members. If you are unable to locate your question on this list, please contact Allied National Client Services.
When Do I Need to File a Claim?
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 directly to the insurance company as a courtesy to the patient.
How Do I File a Claim?
Medical and Dental Claims:
It is customary that providers submit claims directly to the insurance company as a courtesy to the patient. They must send the original fully itemized bill to the address shown on the member ID card.
If your plan includes a drug card benefit, there is no need to submit a prescription claim when using a participating pharmacy. Otherwise, fill out the Rx Reimbursement Form and submit the form and the original prescription receipts to the address shown on the claim form.
Where Can I Find Information on My PPO Network?
Visit our Find a Provider page. Here you will find a list of PPO Networks. Locate your network and click on the link to find more information. If you're unsure which PPO network you belong to, click here to see a sample ID card showing you how to locate your PPO network name and phone number on your card.
Yes. Use the Allied Self-Service Site. If you have never logged in, choose "First Time User" to begin registration. By logging in you can get access to your personal information, benefit amounts, and claims status.
Pre-Notification allows us to assist you and your family with medical education material, high-risk monitoring programs, and coordination of treatment plans and costs with doctors and hospitals. These services help ease a patient through the medical process and control expenses to the benefit of all insured members.
Pre-Notification is Required:
Within 30 days from the date of a pregnancy diagnosis
At least seven days before an outpatient surgery exceeding $5,000
Inpatient admission and treatment, before those services are used
For use of Specialty Drugs
Facility to facility transfers by air (air transfers should call 877-542-8828)
To Pre-Notify, Call Allied National at 866-317-5273.