How to Submit a Claim

With EASE Essential and EASE Complete, submitting a claim with your Group Fixed Indemnity Plan is simple.

Here’s a step-by-step guide:

Visit your doctor

1.

Advise the provider that you are “Self-Pay” and will need the “Cash Price” along with a
“Good Faith Estimate” of expected charges.

2.

Pay any required amount up front

Your provider may ask for a partial payment at the time of service.

This will include all necessary info for claim submission, such as provider details, service codes and charges.

3.

Request an "Itemized Provider Bill” at the time of service.

File your claim through the EASE Total Health App:

4.

  • Open the app and go to “My Benefits”

  • Tap on the “Resources” tab

  • Select “File a Claim”

  • Attach the itemized bill directly from your phone

Once your claim is reviewed and approved (average processing time 30- days) at which point an Explanation of Benefits (EOB) and a check for any eligible indemnity payments will be mailed to the address on file.

Coming Soon: You’ll be able to access and manage your payment through the new “My Pay” section in the app.

5.

Get paid

That’s it! The process puts you in control and the cash is sent directly to you.

Need Assistance?

If you, your doctor, or the front desk staff have any questions, please call (800) 781-5116. The number is also listed on the back of your ID card in the EASE Total Health App.