What happens the first time a claim is filed?
The first time TriSurant receives a claim for a member covered under the GISD Health Plan, TriSurant will send out a “pre-ex letter” to the member and any related medical providers. The member and the providers must reply to the letter, giving information regarding medical services the member may have obtained during the 6 month period prior to coverage on the GISD Health Plan. The claim will be pended until the necessary information is received by TriSurant.
