Embed
Email

Benefit claim form

Document Sample
Benefit claim form
Benefit claim form

IMPORTANT—Please read the following before completing this form.

Please submit one claim form per patient. All questions must be answered for prompt processing.

Attach itemized bills from your medical care or service provider.The bill should include the patient’s name, diagnosis, date of service,

type of service, and charge.

Keep a copy of your bills and this completed form for your records.

Please print in ink.



Employee data Check your health plan: Options Options Prime

Member ID number ________________________________ Options Select Alliant Plus Alliant Select



Employee name _________________________________________________________________________________________

Last First Middle



Home address___________________________________________________________________________________________

Street City State Zip

Check box if address is new

Name of your employer___________________________________________________________________________________



Patient data

Patient name _____________________________________________________ Member ID number ____________________

Last First Middle



Date of birth _________________ Age _________ Handicapped dependent? Yes No

If this patient is a dependent child 19 or older, is child enrolled as a full-time student? Yes No

If yes, name of school ________________________________________ City _______________________________________

If accident or injury, complete the following information:

Were these charges incurred as a result of an on-the-job illness or injury? Yes No Other accident? Yes No

Emergency? Yes No

If yes to any of the above, when did the patient first notice condition or symptom of illness? Month/date/year ____________

Place/time___________________________________________ Description of what happened _______________________

____________________________________________________________________________________________________



Other insurance data

Please read instructions on back of this page.

Is this patient employed? Yes No Is this patient covered by another employer health insurance plan? Yes No

If yes, list name and address of other insurance company List family members covered

__________________________________________________ Group number _____________ __________________________

__________________________________________________ Phone____________________ __________________________

Policy holder________________________________________ ID number ________________ __________________________

Name of policy holder’s employer _______________________ Phone____________________ __________________________

Is this patient covered by Medicare? Yes No If yes, please check one of the following: Part A Part B Both



Please make payment directly to: Health care provider Self

______________________________________________________________________________________________________

Signature of employee Date





I certify this information is correct and authorize the release of any medical information required for the administration of this claim.

______________________________________________________________________________________________________

Signature of patient (parent if minor) Date

Instructions for coordination of benefits

If the patient has coverage under any other group/employer insurance plan or government plan, you may be able to

receive benefits under both plans and should submit your claim using the following guidelines.This will happen if both

you and your spouse work and both of you carry family coverage through your respective employers.

In addition to the information you’ll need from the other insurance plan described below, be sure to attach a Group

Health Options claim form and copies of itemized bills and receipts.

If you (the employee) are the patient, send the original claim and copy of the Explanation of Benefits to the other

insurance company.

If your spouse is the patient, his/her insurance should pay first.

(1) Send the original claim to the other insurance company. Keep a copy.

(2) After receiving the other insurance payment, send a copy of the original claim to Group Health Options along with

their Explanation of Benefits.

If your child is the patient, and you, the employee, have a birthday which falls earlier in the year than your spouse,

Group Health Options should pay first.

If your child is the patient, you are the employee, and your spouse has a birthday which falls earlier in the year than

yours, Group Health Options should pay second and your spouse’s coverage pays first.

For dependent children of separated or divorced parents, the parent with custody generally pays first.Then, if the parent

remarries, the new spouse’s plan pays second.The parent without custody pays last.









Tear along perforation and submit applicable form.

If you have any questions regarding coordination of benefits or other information regarding your covered services under

Group Health Options, please call 1-888-901-4636.





Send completed form to:

Group Health Options, Inc.

Claims Processing

P.O. Box 34585

Seattle, WA 98124-1585









18GHO 10-03

Check your health plan:



Prescription drug claim form Options

Options Select

Options Prime

Alliant Plus Alliant Select



Member ID number _______________ Subscriber name _______________________________________________________

(Please print) First Middle Last



Address_________________________________________ City ____________________ State_______ ZIP _____________

Daytime phone (including area code) __________________________ Evening phone (including area code) _________________________

Prescriptions were dispensed to:

Patient name ___________________________________________________________________________________________

First Middle Last

Patient birth date ________________

Is this medication for an on-the-job injury? Yes No

Is this medication covered under any other group insurance plan? Yes No

If yes, provide the name of the insurance company and other employer._____________________________________________

(Note: Use a separate claim form for each covered member of the family.)

I certify that the information on this claim form is true and correct to the best of my knowledge. I authorize the release of any

medical information necessary for the administration of this claim.

Signature Patient (or parent if a minor) ______________________________________________________________________________

Please attach the duplicate pharmacy-generated receipt to this form.

If that is unavailable, please have the pharmacy or dispensing facility complete the section below.



Pharmacy or dispensing facility needs to complete the remaining portion and return this to member.

Shaded areas are optional; please complete those areas if information is available.

Rx number Date filled Check one: Quantity Directions Days supply Rx price w/tax

1) New Refill

Medication name, form, and strength DAW M.D. DEA number NDC number (11 digits)







Rx number Date filled Check one: Quantity Directions Days supply Rx price w/tax

2) New Refill

Medication name, form, and strength DAW M.D. DEA number NDC number (11 digits)







Rx number Date filled Check one: Quantity Directions Days supply Rx price w/tax

3) New Refill

Medication name, form, and strength DAW M.D. DEA number NDC number (11 digits)







Rx number Date filled Check one: Quantity Directions Days supply Rx price w/tax

4) New Refill

Medication name, form, and strength DAW M.D. DEA number NDC number (11 digits)









Pharmacy name ____________________________________________ Pharmacy NABP (required) ______________________

Address _____________________________ City _____________ State ____ ZIP ____________ Phone________________

Pharmacist’s signature ___________________________________________________________________________________

(Note: Pharmacist’s signature only required when bottom of claim form is completed by pharmacy or dispensing facility.)



If you need assistance with this form, please contact the MedImpact Customer Service Department: 1-800-788-2949.

If you have prescription coverage questions, please contact your health plan Customer Service Department: 1-888-901-4636.



Submit claims to:

Group Health Options, Inc., Claims Processing, P.O. Box 34585, Seattle,WA 98124-1585

18GHO 10-03


Related docs
Other docs by KerryBuckvic
Vocat. CALENDAR 2008
Views: 34  |  Downloads: 0
Small Claims court is for filing suit in an
Views: 6  |  Downloads: 0
IPAA Victoria 2009 Calendar
Views: 32  |  Downloads: 0
Bush and beach calendar Jun to Dec 2009.pub
Views: 1  |  Downloads: 0
2009-2010 JFCES PTO Calendar
Views: 3  |  Downloads: 0
Rotorua Conservation Week calendar
Views: 14  |  Downloads: 0
CLAIM FORM – DISMEMBERMENT OR LOSS OF USE
Views: 10  |  Downloads: 0
By registering with docstoc.com you agree to our
privacy policy

You are almost ready to download!

You are almost ready to download!