Premium Saver Claims 101.

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Presentation transcript:

Premium Saver Claims 101

Premium Saver ID Card Two Card System The members should provide both primary and secondary ID cards to every provider.

How does the Premium Saver pay claims?

Preferred Method Quickest and Most Efficient way to file claims Provider Filing Preferred Method Quickest and Most Efficient way to file claims The Premium Saver pays benefits to the providers based on the amounts applied towards the primary carrier deductible, coinsurance and/or copay. Provider options for filing the Premium Saver Electronic Clearinghouse - Softcare or ChangeHealthcare Direct file feed from the primary carrier Paper claim received from mail - convert to electronic claim via OCR system

Member Filing Required information for processing: Major Medical Explanation of Benefits Provider Walkout Statement or Billing Statement Proof of payment to provider - (If member has paid in full and seeks reimbursement) This information can be submitted to our Claims Customer Service email Claims@Morganwhite.com. Claims Customer Service – 1-888-888-2519

Agent Resource If the agent or someone from the agent’s office needs to help a member understand or resolve a claims issue, we will need an MWG Administrators authorization form completed before we can assist in the issue. Complete the form and send to claims@morganwhite.com

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