Explanation of Benefits (detail)

You are likely reading this article because your recent claim submission was denied with the following message:

251

The documentation that you provided indicates other insurance. We require the "Explanation of Benefits" (detailed statement) issued by your other insurance carrier, detailing your treatment and payment information.

National HealthClaim is not affiliated with or has access to any insurance carrier or other benefit you may have. That means we are the last payer in the chain of your benefits if you have other coverage:

The Chain

1. Your insurance plan

2. Your insurance plan's own spending account (if they have one)

3. Your spouses insurance plan

4. Your spouses insurance plan's own spending account (if they have one)

5. Your National HealthClaim spending account

We do not have access to any benefit outside of the National HealthClaim spending account. So in your submission to us, if you have any of the above coverage then you must submit a document confirming that. Even if your service receipt specifies the insurance payment, we need a confirmation document from your insurance carrier.

This document is a "Explanation of Benefits," the detailed document that confirms how much the insurance carrier has paid towards an expense (even if it is 0). If you do not have your copy, contact your insurance carrier directly to obtain it.

If you have an online account with your insurance carrier, you can often view/print this document directly from there. We need a detailed explanation of benefits for each expense, summary documents are not acceptable.

Have your Explanation of Benefits now and wondering how to resubmit for your claim? Click here for instructions.