1. 2016-2017 CLAIMS FILING PROCESS
FOR ZERO DEDUCTIBLE STUDENT / ATHLETIC / ACTIVITIES ACCIDENT MEDICAL GAP PLAN

2. Claim Filing Instructions

3. Claim Filing Instructions (Cont.)

4. Claim Filing Instructions (Cont.)

5. NOIF Part 1

6. Claim Filing Instructions (Cont.)

7. Claim Filing Instructions (Cont.)

8. NOIF Part 2

9. Ticket System
For Electronic Filing of the Claims Form, Explanation of Benefits (EOB’s), Billing Statements, any Documentation you need to Submit to our Claims Payer, all you need to do is to scan these documents into your computer then follow the procedures on the next slide to submit to Academic Benefit Trust to pay the claim.

10. Ticket System

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Scroll Mouse Over Forms

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Click on Claims Submission

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Click on New Support Ticket

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Name of Injured Insured (i.e., John Smith’s NOIF, or EOB’s, or Billing Statements Claim Submission, Dothan City Schools)
of Parent of Injured Student or School Representative Representing Parent for this Claim
Give as much information as possible (i.e., I am forwarding in John Smiths NOIF, we do not have the Explanation of Benefits or Billing Statements back from BC/BS or Medicare yet but will forward in as soon as I get them.)
Scanned NOIF, EOB’s, Billing Statements, & Documentation Attaches Here
Once All Info is Provided Click on Submit Button, You will Receive an Confirmation Back that Claims Payer has received Submission

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Make Sure that as soon as possible after an accident to a student a NOIF is submitted to our Claims Payer via the Ticket System to start the Claims Process
If you do not have all Explanation of Benefits (EOB’s), Billing Statements, or Required Documentation, once you receive it Repeat the Submission Requirements from Previous 4 slides to Submit the Documentation to our Claims Payer

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When you receive your confirmation back from our claims payer that your NOIF has been received and a claims number has been assigned to the injured student, they will include a link for you to go in and set up a password so you can keep up to date on the status of your claim until you receive your claim payment settlement
The check will be made to the parent or guardian, not the physician, clinic, or hospital

17. The End
Questions?