Results for Claims Support (29)

Some medical items/devices require assessment to determine eligibility. To assess the item/device, we require an authorization form to be completed. Various authorization forms are available depending

When your pharmacy submits a medication claim, they indicate the number of tablets as well as the number of days that the prescription was written for you. Your benefit plan allows you to refill your

Certain benefits are only eligible when a participant has a qualifying medical condition.  Your claim did not pay because either a medical condition was not provided at time of claim submission, or

A dental maximum is the dollar amount the plan will reimburse in the specified time period. Information regarding your dental maximum can be found on your explanation of benefits or in your benefit

Itemized prescription drug receipts from your pharmacist. Receipts must contain: Patient's name Date of service Prescription (Rx) number Drug name Quantity dispensed and, Drug Identification Number (