Member Services
Alliance ACA Health SupplementClaims Process
One of the unique advantages of Alliance InPocket Health Supplement is that healthcare providers are able to file all of the claims for patients via an electronic payer code that is clearly labeled on the member’s secondary insurance card (note providers can also file US mail). Here is how the claims process works:
1
Member Shows
Both Cards
Gives both primary & secondary cards every time they see a provider. In order for claims to be filed with the insurance carriers, the provider must have the insurance information in their records.
2
Provider
Verification
Provider verifies coverage with both insurance carriers.
3
Provider Files
the Claim
Once the provider has received the major medical’s EOB, the provider will submit the claim to the secondary insurance carrier by filing electronically or by paper.
4
Alliance Pays
Provider
Secondary insurance Administrator processes the claim and sends payment & EOB to the provider. A copy of the EOB will also be sent to the member.
Claim Reimbursement
Think that you paid for a service out of your pocket that was eligible for coverage under your Alliance InPocket Health Supplement plan? No worries, you can submit copies of the following items for direct reimbursement:
- Primary Health Insurance EOB: A copy of the Primary Health Insurance EOB (Explanation of Benefit) is obtained via your primary insurance carrier’s portal, via US mail from your insurance carrier, or you can request a copy from your medical provider(s).
- Itemized Statement: The Itemized Statement (or HCFA) can be obtained from your physician’s office or hospital of care.
- Proof of Payment: This can simply be a receipt or bank statement showing payment to the correlating medical provider(s).
Once you have obtained these items, please submit them to MWG Administrators via Fax or Email:
Call Member Customer Service
Phone: (888) 888-2519
Member Portal
Access “MWG Member Portal“
Member Customer Service
File via Email
claims@morganwhite.com
File via Fax
(601) 956-1147
