HOW TO FILE A CLAIM. IMPORTANT: The submission of a Claim does not automatically mean that the damage to or breakdown of the Product is covered under Your Plan(s) and this Agreement. In order for a claim to be considered, You have to contact the Administrator first for Claim approval and authorization number.
HOW TO FILE A CLAIM. Network dentists file claims on your behalf. Non-network dentists may or may not file claims on your behalf. If a non-network dentist does not file a claim on your behalf, you will need to file it yourself. To file a claim, please send us the dentist’s itemized bill, and include the following information: • your name; • your member ID number; • the name, address, and telephone number of the dentist who performed the service; • date and description of the service; and • charge for that service. Please send your claim to the address listed in the Contact Information section. Claims must be filed within one calendar year of the date you receive a covered dental service. Claims submitted after this deadline are not eligible for reimbursement. This timeframe does not apply if you are legally incapacitated.
HOW TO FILE A CLAIM. If You need to file a Claim under this Service Contract, You must obtain authorization by calling the Administrator at 1-800-228- 2731 or by visiting xxx.XxXxxxxxxxxxXxxx000.xxx/XxxxxxXxxx. If authorization is needed when the Administrator’s office is closed, You may obtain prior authorization by visiting xxx.XxXxxxxxxxxxXxxx000.xxx/XxxxxxXxxx at any time. Failure to obtain prior authorization may result in non-payment. EXCLUSIONS – We shall not provide coverage only for those specifically listed items in the “EXCLUSIONS (WHAT IS NOT COVERED)” section which occurred while owned by You. GUARANTY is amended to include: A contract holder is entitled to apply directly to Wesco Insurance Company, at 00 Xxxxxx Xxxx, 00xx Xxxxx, Xxx Xxxx, XX 00000 or 000-000-0000 for refund, payment or performance due. Wisconsin: THIS CONTRACT IS SUBJECT TO LIMITED REGULATION BY THE OFFICE OF THE COMMISSIONER OF INSURANCE.
HOW TO FILE A CLAIM. Notice of Claim: Notice of claim must be reported to Us or Our authorized representative within twenty (20) days after a loss occurs or as soon as is reasonably possible. You or someone on Your behalf may give the notice. The notice should be given to Us or Our authorized representative and should include sufficient information to identify You. Failure by You or someone on Your behalf to make such notification may result in no benefits being paid. Claim Forms: When notice of claim is received by Us or Our authorized representative, iTravelInsured forms for filing proof of loss will be furnished. If these forms are not sent within fifteen (15) days, the proof of loss requirements can be met by You sending Us a written statement of what happened. This statement must be received within the time given for filing Proof of Loss. Obtain claim forms from iTravelInsured or at xxx.xxxxxxxx.xxx which will provide all the details for filing Your claim appropriately. Please read the instructions carefully. The instructions will direct You toward filing all the correct, necessary documentation and following the appropriate procedures in order to have Your claim settled as quickly as possible. Proof of Loss: Proof of loss must be provided within ninety (90) days after the date of the loss or as soon as is reasonably possible. Failure to furnish such proof within provided period will not invalidate nor reduce any claim if it shall be shown not to have been reasonably possible to furnish such proof during that time. Proof of Loss must, however, be furnished no later than twelve (12) months from the time it is otherwise required, except in the absence of legal capacity. All claims require You to provide iTravelInsured with the following: a Trip invoice, itinerary or confirmation showing details of Your Trip (dates of travel, destination, etc.); and any other information reasonably required to prove the loss. Where to Report a Claim: IMG iTravelInsured Claims
HOW TO FILE A CLAIM. You must contact the Administrator for authorized service within thirty (30) days of noticing the defect or damage to Your Covered Product. Failure to contact the Administrator within thirty (30) days of noticing the defect or damage may result in claim denial. Call Us toll-free at 000-000-0000 between the hours of 8:00 AM and 5:00 PM Eastern Time Monday-Friday, or go online to xxx.0xxxxxxx.xxx. Prior to Our dispatching service to Your location, We may request that You provide Us with pictures of Your defective or damaged Covered Product. All repairs must be authorized by the Administrator prior to performance of work. Claims on unauthorized repairs may be denied. You may be asked for a credit card number before We dispatch service to Your location. If You refuse service on a Covered Product after We have dispatched the repair servicer to Your location, You will be billed for that servicer’s applicable trip charge. You agree that We or the Administrator may share with the servicer information about You and Your Covered Product, including, without limitation, Your name, phone number(s), address, email address and the products You purchased from the Selling Retailer. In-Home Service will be performed in Your home whenever possible, provided that the servicer may opt to remove Your Covered Product to perform service in-shop and will return the Covered Product upon completion. If You are not within one of the Administrator’s authorized service areas, You may request termination and refund of the Service Contract sales price subject to the cancellation provision in this Service Contract. If You choose, the Administrator will provide service at the nearest service location and You must provide the necessary deliveries and pickups at Your expense. Service is available during the regular business hours of the servicer. We do not guarantee days or time of service. We will not be liable for any damages arising out of delays, either before or after a day or time of service is agreed upon. You must make the Covered Product reasonably accessible to the repair person. If the Covered Product is not accessible, We may decline to provide service or assess You an additional charge, proportionate with the difficulty in working on the Covered Product. Except for delivery damage, if We remove the Covered Product for in-shop repairs and then determine that replacement is required, and You refuse delivery of Your replacement item, You will be reimbursed the purchase price of thi...
HOW TO FILE A CLAIM. When you receive care from your Primary Care Physician or from another Pro vider who is affiliated with your Participating IPA/Participating Medical Group, or from your Woman's Principal Health Care Provider, a Claim for benefits does not have to be filed with the Plan. All you have to do is show your Plan ID card to your Provider. However, to receive benefits for care from another Physician or Provider, you must be referred to that Provider by your Primary Care Physician or Woman's Principal Health Care Provider. When you receive care from Providers outside of your Participating IPA/Partici pating Medical Group (i.e. emergency care, medical supplies), usually all you have to do to receive your benefits under this Certificate is to, again, show your Plan ID card to the Provider. Any Claim filing required will be done by the Pro vider. There may be situations when you have to file a Claim yourself (for example, if a Provider will not file one for you). To do so, send the following to the Plan:
HOW TO FILE A CLAIM. A. For General Claims: Call the toll-free ProtectALL number at [0-000-000-0000] or go online [xxx.xxxxxxxxxxxx.xxx/xxxxxxxxxxxxx] with Your Sales Receipt/Invoice readily available. We will ask you to describe the problem Your Product is experiencing and provide any additional information or documentation to the Administrator to validate Your Claim. After confirmation of Your Claim eligibility under this Protection Agreement, We will attempt to troubleshoot the problem You are experiencing. If We are unable to resolve the problem, We will service Your Covered Product as described under the Coverage section listed above. THIS PROTECTION AGREEMENT DOES NOT REPLACE THE MANUFACTURER’S WARRANTY. If You refuse service on a Covered Product after We have confirmed a repair date and time with You and dispatched the repair servicer to Your location, You will be billed for that servicer’s applicable trip charge. Payment of any required Deductible will be collected by the Retailer or Administrator at this time. IMPORTANT: The submission of a Claim does not automatically mean that the damage or breakdown of the Product is covered under this Protection Agreement. For a Claim to be considered, You must contact the Administrator for Claim approval and authorization number (if any).
HOW TO FILE A CLAIM. If You need to file a Claim under this Service Contract, You must obtain authorization by calling the Administrator at 0-000-000-0000 or by visiting xxx.XxXxxxxxxxxxXxxx000.
HOW TO FILE A CLAIM. Participating providers file claims on your behalf. Non-participating providers may or may not file claims on your behalf. If a non- participating provider does not file a claim on your behalf, you will need to file it yourself. To file a claim, please send us the provider’s itemized xxxx, and include the following information: your name; your member ID number; the name, address, and telephone number of the provider who performed the service; date and description of the service; and charge for that service. Please send your claim to the address listed in the Contact Information section. Claims must be filed within one calendar year of the date you receive a covered healthcare service. Claims submitted after this deadline are not eligible for reimbursement. This timeframe does not apply if you are legally incapacitated.
HOW TO FILE A CLAIM. If specific Covered Health Care Services are not available from a Network Provider, you may be eligible for Network Benefits when Covered Health Care Services are received from out-of-Network Providers. In this situation, your Network Physician or Primary Care Physician will notify us and, if we confirm that care is not available from a Network Provider, we will work with you and your Network or Primary Care Physician to coordinate care through an out-of- Network Provider. You will not incur any greater out-of-pocket costs than you would have incurred with a Network Physician or Provider for Allowed Amounts.
