What type of documentation is acceptable to submit for reimbursement of healthcare claim(s)?
• Acceptable documentation consists of the following: • An Explanation of Benefits (EOB) is our preferred supporting documentation, provided to you by your insurance provider. • An itemized receipt is also acceptable, but it must show the date of purchase or service, amount of purchase or service, description of item or service, name of merchant or service provider, and name of patient if a medical claim • Prescription drug receipt containing the date of purchase, amount of purchase, name of prescription and final patient responsibility. • Over-the-counter (OTC) items must be clearly described on the receipt.
• Acceptable documentation consists of the following: • An Explanation of Benefits (EOB) is our preferred supporting documentation, provided to you by your insurance provider. • An itemized receipt is also acceptable, but it must show the date of purchase or service, amount of purchase or service, description of item or service, name of merchant or service provider, and name of patient if a medical claim • Prescription drug receipt containing the necessary information. • Over-the-counter (OTC) items must be clearly described on the receipt.
