Claim Filing Procedures can vary depending on the coverage provided for your school or organization. Please check with your Student Health Center, Athletic Department, Nurses Office or the Business Office of your school or organization to determine if they have detailed claim filing instructions. If claim filing instructions are available, please follow those instructions. If you are unable to obtain instructions, please observe the following general guidelines:

• Obtain a Claim Form from your school or organization. Please check to see that the school or organization you belong to has fully completed their portion of the form, when applicable.
   
• Complete and sign the claim form. Often two signatures are required - one to obtain your Authorization to Release Information and a second that authorizes us to make payment directly to your physician or to the hospital.
   
• Obtain Itemized Bills from your physician or hospital for each treatment or service provided. Itemized Bills provide the date(s) of service, procedure code(s), the diagnosis and the charge. Balance Due bills are not acceptable because they do not provide all of the information required to properly examine your claim.
   
• When your school or organization's insurance plan reimburses you for medical expenses that are not payable by your own healthcare plan or other valid and collectible insurance (Full Excess Coverage), please submit your claim to your healthcare plan first and then obtain an Explanation of Benefit (EOB) statement from your healthcare plan. EOB's will show how much your plan paid and the outstanding balance, if any. If your plan is a Full Excess plan we cannot complete the claim adjudication process without the EOB. There should be an EOB for each Itemized Bill you submit.
   
• Mail the fully completed Claim Form, Itemized Bill and EOB (when applicable) to the address on the top of the claim form.
   

Remember, a complete claim submission that includes a fully completed claim form, itemized bill(s) and an EOB for each bill (when applicable) will aid us in the timely processing of your claim.