Get Allways Health Partners Member Reimbursement Claim 2021-2025

Navigating the health reimbursement claim process can be straightforward with the right guidance. This guide provides step-by-step instructions to help you successfully complete the Allways Health Partners Member Reimbursement Claim online.

Follow these steps to complete your reimbursement claim.

1. Press the ‘Get Form’ button to obtain the Member Reimbursement Claim form and open it in your preferred editor.
2. Indicate whether the claim is for medical or behavioral health services by marking the appropriate box at the top of the form.
3. Provide the patient and subscriber (plan holder) information. This includes entering the patient member ID, name, date of birth, and address. Additionally, specify the relationship to the subscriber.
4. If applicable, enter the subscriber ID number and their name, along with employer details for group insurance coverage.
5. Indicate if there is secondary coverage by selecting 'Yes' or 'No' and entering the name and ID number of the plan if applicable.
6. Complete the provider or hospital information section. This includes the provider’s name, address, phone number, and any relevant details if the services were provided outside of the United States.
7. In the description of services, check the type of service rendered and provide a brief description of the diagnosis, date of service, and details of the procedures along with the amounts paid.
8. If applicable, indicate whether you had a COVID-19 lab test and select the reason for the test from the provided options.
9. Review all entered information for accuracy before ensuring necessary documentation is attached, such as itemized bills and proof of payment.
10. Finalize your claim by signing the form. The claim cannot be processed without both the member’s and subscriber’s signatures.
11. Once everything is complete, you can save changes, download, print, or share the completed claim form as needed, and submit it to the claims processing address provided.

Complete your Allways Health Partners Member Reimbursement Claim online today to ensure timely reimbursement.