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You can check your claim status by calling Benefit Concepts, Inc. (our Claims Division) at 1-800-963-2200.
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When you see an In-Network Doctor/Hospital, show your PSI medical ID card and bring a Claim Form so the provider knows to bill us. If you do receive a bill from the provider, review the bill to make sure it's not an "information only" statement. Most providers will send you a statement showing the total amount due and informing you they billed PSI. If it is a bill, ask the provider if they've submitted the bill to Benefit Concepts, Inc. (our Claims Division).
When you visit an Out-of-Network Doctor/Hospital, you may need to pay the doctor/hospital first and mail the original medical bills and receipts along with the Claim Form to our Claims Division. Benefit Concepts, Inc. (our Claims Division) will then reimburse you according to the benefits indicated in your Policy Brochure.
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In the event of sickness or injury, the student should:
1. Report at once to the Student Health Center, if not available go to step 2
2. Find an In-Network Doctor by visiting MULTIPLAN.com and follow these steps OR call 1-888-342-7427
a) Identify your Network logo by choosing  on the 'Back of Card' section then click 'Continue'
b) Choose a Provider Type, then click 'Continue'
c) Fill in your ZIP Code, and click 'Continue'
In case of medical emergency or if there are no network doctors or hospitals in your area, you can see any doctors, and the benefits will be the same as if you are seeing a network doctor. In such cases, please attach an explanation when you file your claim(s).
3. Submit Medical Claims by Mail, eMail or Online
BY MAIL - Send the ID Card/Claim Form & All Itemized Bills to:
Benefit Concepts, Inc.
PO Box 60608, King of Prussia, PA 19406
Be sure to fill out your Current Address on your ID Card/Claim Form when you submit this.
(When you are submitting expense for more than one dependent, please use a separate ID Card/Claim Form for each person.)
BY eMAIL - Scan ALL Itemized Bills and Attach this with your ID Card/Claim Forms then email it to psi@bcitpa.com. Be sure to fill out your current address on your ID Card/Claim Form before you send this.
ONLINE - For Doctors/Hospitals ONLY, they can also send claims billing via Electronic Data interchange (EDI) Payor ID:51037
For Benefit and Claim Questions, please call 1-800-963-2200
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To file a claim for your Medicines or Prescription drugs,
you need to pay for it first, Fill out your PSI Claim Form and attach all itemized bills, statements, and original receipts.
Once completed, mail them to our Claims Division shown at the below address:
Benefit Concepts, Inc.
P. O. Box 60608
King of Prussia, PA 19406
1-800-963-2200
It should take 20 to 25 business days for the Claims Division to process your claims.
If you do not hear from our Claims Division after 30 business days,
please call our Claims Division hotline to check the status of your claim(s).
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Claim Forms can be obtained from your account, click on "GET INSURANCE DOCUMENTS"
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It should take 20 to 25 business days for the Claims Division to process your claims.
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Whether it is partially paid, pended or denied, an Explanation of Benefits (EOB) is forwarded to both the insured and the physician or hospital about the action we took. The following items will determine the amount of your out-of-pocket expense when a claim is submitted to our Claims Division:
1) Differences in payment between an In-Network Doctors/Hospitals and Out-of Network Doctors/Hospitals.
2) Circumstances on whether a Deductible or Co-Pay is applied, and the corresponding amounts.
3) The percentage PSI will pay according to your Benefits Schedule.
Remember all Claims are paid according to the benefits in your Policy Brochure.
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Most providers use systems-generated billing where their computer automatically sends out the bill. Providers belong to many different health plans and may not have billed us correctly. Always provide them with a Claim Form, which has the mailing address of Benefit Concepts, Inc.(our Claims Division) as shown below:
Benefit Concepts, Inc.
P.O. Box 60608
King of Prussia, PA 19406
1-800-963-2200
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