Important Reimbursement Claim Information
Please read before submitting your next claim.
Summary of Material Modification to Plan - Reimbursement Claims
Effective immediately, proof of actual payment for claims is no longer
required and should not be submitted. The Flex Plan is only required to
verify that members have incurred covered expenses. Evidence of Expense
must be submitted for all claims. For medical services an Explanation of
Benefits (EOB) is the only document that should be submitted. If an EOB is
not available, a written statement from the provider containing the
information described on the claim form may be submitted.
All claim forms have been redesigned to include detailed instructions on how
to file your claim as well as what documentation must be submitted to
satisfy the Evidence of Expense requirements. If you have any claim forms
with a revision date before June, 2011, please discard them.
Any prior unpaid claims which were not submitted with proof of payment that
include the necessary claims substantiation may be reprocessed at the
member's request.
Important Plan Changes effective 01/01/2011
We strongly encourage you to review the following items which were included
in your 2010 3rd Quarter Statement:
Summary of Material Modifications to Plan
New Email Validation Procedure
The first time you log in (after 11/23/2009), you will be sent a validation
email. When you receive the email, click on the link, you will prompted to
enter your PIN. Once you enter your PIN you will be logged in. This process
must be completed one time prior to accessing personal account information.
Once you have validated your account, you may login as usual.
Verify the receipt of a fax, document or e-mail on-line
Faxes are generally recorded within 30 minutes of receipt during our business
hours. You can see what documents we have received from you after logging-in by
clicking on "Documents Received". Mail, depending on our volume, may take 1 to
2 days to display after receipt.