How do I submit a claim?
To submit a claim for services rendered you may submit an itemized bill from the provider of service or a medical claim form. The bill must include the diagnosis and procedure codes of the services provided. If you do not have an itemized bill with the required codes, you can request one from your provider's billing office.Once you have your bill, complete the following steps:
Verify your member identification number is on the bill. If not, write it on or enclose a copy of your insurance card (front and back).
Send the original to:
P.O. Box 14601
Lexington, KY 40512-4601
Once you've mailed your claim request to the address above, please allow up to 30 days for your claim to be received and processed.
Dental Claims can be submitted on an ADA form, and mailed to:
PO Box 14611
Lexington KY 40512
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