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WebFLEXIBLE BENEFITS PLAN CLAIM FORM Employee Information Employer’s Name Employee’s Name (Last, First, MI) Social Security Number ... √ Send Claim to: HEALTHCOMP, P. O. Box 45018, Fresno, CA 93718-5018 or Fax to: Flexible Benefits Dept. (559) 499-2045 or Email to [email protected]. WebKilduff filled in and returned the Group Medical Claim Form to HealthComp, but expressly noted he was not conceding that no claim had previously been filed. 28. On August 4, 2004, HealthComp issued written denials of the Estate's claims. ... 2004 — the date Plaintiff's counsel returned the official claim form — is used as the filing date. life coaching for successful women

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WebWe thrive on building creative business risk solutions and employee benefit services to help our clients grow and succeed. Physical Address: 2100 Covington Centre, Suite A WebEDI enrollment applies to ERA only and is not necessary prior to sending claims. 835 Electronic Remittance Advice: HealthComp Electronic Remittance Advice (ERA) … WebEvery effort is made to be sure that the information given to you today is accurate. If a conflict exists between the information provided to you and the terms of the plan, the terms of the plan will control. Final determination of coverage and patient responsibility is made at the time the claim is received and processed. life coaching for high school students