Submit All Your Documents
- Completed Claim Form
- Copy of all Medical Bills & Itemized Receipts
Claims Payment
Claims Form
Additional Claims Information
For Policies starting with GLM:All claims must be filed by completing the claim form found above in the Member portal. This form should be completed by the Policy Holder. This form must be completed ONCE PER SICKNESS OR INJURY. The INF Claims Form for Providers should be completed by the Policy Holder & Providers (Doctors office, Hospitals etc.). The Policy Holder should complete Section A. Providers should complete Section B of the form. The form can be mailed to the Insurance by the Provider's office or the Policy Holder. Providers can also submit claims online using EDI Pay#: 22384. |
For Policies starting with SRPO:Generally, providers file insurance claim directly with WebTPA. Additionally, all policyholders are required to complete an informational Section of the claim form found in the member portal above. In the event a provider wishes to collect from policy holder directly, the second section of claim Form found at (or Standard Insurance Claims Form 1500 CMS/HCFA 1500 or UB92/UB04) should be completed by the doctor's office and submitted by policy holder to the Insurance Company for prompt processing. Failure to do so would delay the claim processing or result in denial of claims by WebTPA. |
Claims Process FAQs
I paid for my relatives medical care up
front. How can I get reimbursed?
Simply fill out the claim form &
follw
their instructions, as well as providing the
additional
required documentation. Make sure to complete this
paperwork carefully to ensure prompt payment.
If my relative or I leave the country
will my
claims be paid?
Yes, on the claims form you need to
designate
that you will be the one who receives the check from
the
insurance company, thus ensuring you will be
reimbursed
for any medical expenses you paid for on the behalf
of
your visitors.
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I took advantage of "Cashless Claims" -
do I
still need to file a claim?
Yes. We highly advise individuals to file
a
claim with the insurance company, regardless if they
have paid for the medical treatment or not. This
creates
a record with the insurance company, and will make
the
process easier in having your claims paid. By not
filing
a claim, the payment may not go through to the
health
care provider and thus causing a delay in payment
and
liability for you.
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