Get New Reimbursement Form - Allied Benefit Systems

If you disagree with a coverage or benefit determination, you have the RIGHT TO APPEAL that adverse determination by requesting an Internal Claim Review within 180 CALENDAR DAYS from the date you received the coverage or benefit determination.

If you disagree with a coverage or benefit determination, you have the RIGHT TO APPEAL that adverse determination by requesting an Internal Claim Review within 180 CALENDAR DAYS from the date you received the coverage or benefit determination.

Electronic Claims Submit your claims directly to Allied through the Emdeon-Change Healthcare clearinghouse and get paid faster. Allied has two payer IDs. For Allied Benefit Systems, use 37308. For Allstate Benefits use 75068.

Electronic Claims Submit your claims directly to Allied through the Emdeon-Change Healthcare clearinghouse and get paid faster. Allied has two payer IDs. For Allied Benefit Systems, use 37308. For Allstate Benefits use 75068.

An arrangement through your employer that lets you pay for many out-of-pocket medical expenses with tax-free dollars. Allowed expenses include insurance copayments and deductibles, qualified prescription drugs, , and medical devices.

An arrangement through your employer that lets you pay for many out-of-pocket medical expenses with tax-free dollars. Allowed expenses include insurance copayments and deductibles, qualified prescription drugs, , and medical devices.

A Flexible Spending Account (FSA, also called a “flexible spending arrangement”) is a special account you put money into that you use to pay for certain out-of-pocket health care costs. You don't pay taxes on this money. This means you'll save an amount equal to the taxes you would have paid on the money you set aside.

A Flexible Spending Account (FSA, also called a “flexible spending arrangement”) is a special account you put money into that you use to pay for certain out-of-pocket health care costs. You don't pay taxes on this money. This means you'll save an amount equal to the taxes you would have paid on the money you set aside.

Allied Flex allows you to set aside pretax dollars to pay for out-of-pocket health and dependent care expenses. By electing to participate in Allied Flex, you save on larger out-of-pocket expenses as well as the daily purchases that you already pay for.

Allied Flex allows you to set aside pretax dollars to pay for out-of-pocket health and dependent care expenses. By electing to participate in Allied Flex, you save on larger out-of-pocket expenses as well as the daily purchases that you already pay for.

Allied designs creative self-insurance solutions for organizations who choose to take control of their healthcare. In collaboration with clients and benefits consultants, we institute the right plan to support the best options for employees and their families.

Allied designs creative self-insurance solutions for organizations who choose to take control of their healthcare. In collaboration with clients and benefits consultants, we institute the right plan to support the best options for employees and their families.

Payer Name: Allied Benefit Systems, Inc.

Payer Name: Allied Benefit Systems, Inc.

If you disagree with a coverage or benefit determination, you have the RIGHT TO APPEAL that adverse determination by requesting an Internal Claim Review within 180 CALENDAR DAYS from the date you received the coverage or benefit determination.

If you disagree with a coverage or benefit determination, you have the RIGHT TO APPEAL that adverse determination by requesting an Internal Claim Review within 180 CALENDAR DAYS from the date you received the coverage or benefit determination.

Founded in 1980, Allied has grown to be the largest, independent third-party administrator in the United States.

Founded in 1980, Allied has grown to be the largest, independent third-party administrator in the United States.

Allied Flex allows you to set aside pretax dollars to pay for out-of-pocket health and dependent care expenses. By electing to participate in Allied Flex, you save on larger out-of-pocket expenses as well as the daily purchases that you already pay for.

Allied Flex allows you to set aside pretax dollars to pay for out-of-pocket health and dependent care expenses. By electing to participate in Allied Flex, you save on larger out-of-pocket expenses as well as the daily purchases that you already pay for.

You can use your account to pay for eligible health care expenses for your family, regardless of the health insurance plan in which they are enrolled. 4. Can I use my Health Care FSA to reimburse outstanding medical expenses from the prior year? No, expenses must be incurred during the current plan year.

You can use your account to pay for eligible health care expenses for your family, regardless of the health insurance plan in which they are enrolled. 4. Can I use my Health Care FSA to reimburse outstanding medical expenses from the prior year? No, expenses must be incurred during the current plan year.

Founded in 1980, Allied has grown to be the largest, independent third-party administrator in the United States.

Founded in 1980, Allied has grown to be the largest, independent third-party administrator in the United States.