Claims Process
One of the unique advantages of Alliance Secondary Plan 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
Provide both primary & secondary cards at visit.
2
Provider
Verification
Provider verifies coverage with both primary and secondary insurance. Verification Information shown on the back of member ID Card.
3
Provider Files
the Claim
Once the primary insurance has processed the claim, the provider will submit the claim to the secondary insurance by filing electronically or by mail.
4
Alliance Pays
Provider
Secondary insurance processes the claim. The claim will be sent to the provider and the member.
Claim Reimbursement Process
-
Primary Health Insurance EOB
Have you paid for a service out of your pocket that might be eligible for coverage under your Alliance Secondary plan? No worries, you can submit copies of the following items for direct reimbursement:
-
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:
File via Email
claims@morganwhite.com
File via Fax
(601) 956-1147
