Medical Claim and Prescription Reimbursement Forms
There are generally two types of claim forms: a medical claim form, or a prescription drug reimbursement form. Here's a quick comparison:
Medical Claim Form
A medical claim form is used for services rendered where the provider either did not submit the claim to the carrier directly (which is often the case with out-of-network providers), or in situations where an enrollee needed access to care while waiting for their insurance application to be processed with a retroactive effective date.
Prescription Drug Reimbursement Form
In the event a prescription needs to be paid for out-of-pocket, a prescription drug reimbursement form can be used to receive a refund for any overpayments made for covered prescriptions.
How To Find A Claim Form
Forms can be found on the carrier's website. You can get direct access to your carrier's website via your Medical Overview page. Simply click on the Member Services & Claims Information link to get the website.
If you need assistance submitting a claim, contact your insurance carrier or broker.
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