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How to resolve denied claims
How to resolve denied claims

For specific guidance steps on how you can resolve a denied claim, please log in to your online account.

Updated over a week ago

For specific guidance steps on how you can resolve a denied claim, please log in to your online account. If you have questions about your denial, start a chat in-product, which will be optimized for each account type.

We’ll notify you if we are unable to process a claim for reimbursement. Some denied claims require additional documentation you’ll need to submit in your online account for it to be processed. You aren't able to delete a claim after it has been submitted, but you can submit a new claim or edit a claim.

Please make sure that your receipts and documentation include the following five pieces of information: 

  1. Patient's Name: The name of the person who received the service or for whom the item was purchased for. For retail store purchases, this information may be excluded. 

  2. Provider's Name: The provider that delivered the service or where the item was purchased. 

  3. Date of Service: The date on which services were provided or the item was purchased. 

  4. Type of Service: A detailed description of the service provided or item purchased. A bag tag is sufficient for prescriptions. 

  5. Cost: The amount you paid for the service or product and/or the portion that is not reimbursed through your insurance carrier. 

Do's and Don'ts for submitting receipts

Do's

  • Do use your Explanation of Benefits (EOB), especially if your insurance paid a portion of the expense.

  • Do make sure your receipt is legible; check that it isn’t too dark or light and that information is not cut off.

  • Do include stamped provider information on handwritten receipts.

Don't

  • Don't send credit card receipts, cancelled checks, and balance forward cancelled checks, they typically do not include all five key pieces of information.

  • Don't use highlighters on your receipts.

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