How do I file an out-of-network (non-MagnaCare) claim?
You must submit a claim form (PDF, 20K) to the PHBP Medical Plan for all out-of-network claims. Submitted bills must be considered appropriate for insurance purposes. They must be itemized and indicate diagnosis and procedure codes (ICD9 and CPT codes). Please note that statements that include only a previous balance, a balance due or a collection agency notice are not acceptable. Regardless of the dates of service, effective to August 1, 2007 all claims for chiropractic/mental health and all therapies must be submitted directly to MagnaCare regardless of provider’s participation.
Related Questions
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- How do I file an out-of-network (non-MagnaCare) claim?
