I received an Explanation of Benefits form; why was the benefit check not mailed the same day?
A recent change in the law governing self insured employer groups, requires BPA to send you a claim determination notice within 30 days of receiving your claim for benefits. This applies to claims received at BPA on or after July 1st, 2002. For some self-insured employer groups, this means you may occasionally receive a claim determination notice, (or Explanation of Benefits form as it is called), before the check for benefits is actually released. This happens because the timing and frequency of check cycles for each group will vary depending on the funding options chosen by the group. If the benefit check has been released, the check number will be shown on the Explanation of Benefits. Benefit checks are usually released no later than four weeks from the date the Explanation of Benefits form was mailed. If after more than four weeks, you receive a “balance due” statement from your provider, call the provider to see if all benefit payments received in the office have been credited to
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