Claims

Online Claim Submission

Submit out-of-network medical claims in a timely fashion. Doing so online is easy and secure.

Financial Summary

Total billed by providers Sep 02,2021 to current	$ 189.00
Total plan discount	$ 167.33
Total plan paid	$ 21.67
What you paid	$ 0.00

Claims History

To pay a provider for a balance you owe on a claim, go to Payment & Billing You are viewing claims for the last 24 months. Use more filters to customize your claims experience.

Service Date	Claim Received	Status	Member	Description	In-Network	Your Responsibility