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  1. How to submit Supplemental Health claims You can submit your claim online, by phone, or by mail/fax. Online submission is the fastest way to get your claim started!

  2. Quick Claims in Availity – Faster & Simpler The Availity Quick Claims tool is for providers that utilize the HCFA-1500 claim form.

  3. If the patient is covered by more than one plan, enter the primary insurance company information here for the initial claim submission. When submitting a separate claim to the secondary …

  4. Member Medical Reimbursement Claim Form Use this claim form to be reimbursed for eligible out-of-pocket medical expenses. EMAIL form and required documents to:

  5. Tips for Completing the CMS-1500 Claim Form This guide is designed to assist with the completion of the CMS-1500 claim form.

  6. Submitting Supplemental and Additional Diagnoses The Centers for Medicare & Medicaid Services’ non-institutional claim form – CMS 1500 – allows 12 diagnoses per Current …

  7. Do you have what you need to file a claim? 05/19 ake submitting a claim a smoother process. Look below to see the d cumentation needed for each type of claim. Please include the …