Benefits USA

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How To File An Insurance Claim

  • Fill out the proper claim form – We suggest you call our customer service office at 800-303-8110 or 888-681-3406 between the hours of 9:00 AM to 4:PM PST and verify you are completing the correct claim form. There may be more than one page to complete and there may also be an APS (Attending Physician Statement) to include along with your bills. Provide as much information as possible, the more received, the fastest the processing of the claim.

  • Have the physician that treated you for the injury or illness complete the APS form and submit it with your claim. The claim will not be processed without it. Please submit your completed claim form, the physicians statement, and all itemized bills to:

    CDBA ATTN: Claims Processing
    1423 West State St. Unit A

    Redlands, CA 92373


    Our office will review them for any missing information and contact you if something is missing. Our auditing of the claim usually speeds up payment by catching any missing or incorrect information.

  • Please allow at least six weeks for your claim to be processed. A claim adjuster will contact you if additional information or documentation is required.

  • Retain copies of all paperwork that is submitted including a copy of the claims application, physician statements, and itemized bills.

  • Almost all of our policies are INDEMNITY policies. After processing the claim, an indemnity policy send the amount of the approved claim less the deductible directly to you. Indemnity policies require and it is your responsibility to file the claim for reimbursement. You can assign payment to the provider if he asks.

  • You are considered “self-pay” by the physician or hospital; so, if necessary, set up a payment plan with your provider to avoid contact by a collection agency.

  • If you have a claim-related question, please call Cissy Doucette at 800-303-8110 or 888-681-3406.

  • If you continue to have additional treatment such as physical therapy that is directly related to your claim, you will need to file an additional claim. You can copy the original claim form along with a note stating this is additional treatment for claim number ______ (you can get this number from the check and explanation of benefits you receive with your reimbursement check). Sent the copy of the original claim form, the statement of ongoing treatment, and the itemized bill to the address shown above.


REMEMBER TO COMPLETELY FILL OUT THE APPLICATION, HAVE THE PHYSICIAN COMPLETE AND SIGN THE SECOND PAGE, AND SUBMIT ALL BILLS WITH YOUR CLAIM FORM. THE MORE COMPLETE IT IS, THE FASTER YOU WILL RECEIVE PAYMENT.
 
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