I want to see a doctor who doesn't take insurance. How much reimbursement will I get, and where can I find the form to file this out-of-network claim? Can it be done online?
Yes, you do have out of network benefits, however, it is more cost-effective to remain with in-network providers. I will send you a direct message with plan specifics.
In regards to submitting a claim for services rendered, you may submit an itemized bill from the provider of service or a medical claim form.
Where can I get a 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 that your member ID 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
I apologize that online claim submission is not available.
Once you've mailed your claim request to the address above, please allow up to 30days for your claim to be received and processed.
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