Instructions for Filing A Claim

 

Need to file a medical claim?  Read the following:

In most instances, Optima Health providers handle claims filing for members.

 

There are some instances when a member may need to file a medical claim.  Examples include:

  • Emergency or urgent care services received out of the service area 
  • Members with out-of-network benefits who receive routine services from non-participating providers

In instances where a member needs to file, Optima Health requires the following information:

  • Member Name
  • Member ID Number
  • Treatment Sheets
  • Itemized Bills containing Provider’s Tax ID Number, CPT Codes, and Diagnosis Codes
  • Receipts of Payment

Note:  Since most members will not have to file a claim, Optima Health does not have a specific claim form.

 

To file a claim, send the information noted above to:

 

Lason, Inc.

P.O. Box 5028
Troy, MI 48007-5028

 

Note: Optima Health has a timely filing limit for claim submission. Claims must be received within 365 from date of service.

 

Need to file a pharmacy claim?  View our Pharmacy Reimbursement Instructions.

 

Need to file a claim for out-of-network vision benefits?  Download Out-of-Network Vision Claim Form

 

If you have any questions, contact Member Services.

Last Updated July 02, 2007 4:15:56 PM