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理賠信息
        我如何找出理賠狀況?
        我如何理賠?
        我如何取得理賠表?
        需要多久時間處理我的理賠?
        為什么我的理賠需要部分支付或者被拒絕?
        為什么我在郵箱中收到帳單?
我如何找出理賠狀況?

For all claims and benefit inquires please contact First Student at 1-888-302-6182 or email customerservice@uhcsr.com.

You can also log on OR create your UnitedHealthcare account at: https://www.uhcsr.com/SelfServiceSupport/Students/myAccount/.

 我如何理賠? ∧ 頂部 ∧ 

當您去一網絡醫生/醫院看病時,帶上您的醫療卡和理賠表。這樣他們就會知道把帳單給我們。 如果您從他們那邊收到了帳單,請確認它是不是一份消費清單(列舉您的消費信息)。 大多數時候,他們會發這樣一份清單告訴您他們報給PSI的帳單信息。 如果的確收到的是帳單,請詢問他們(醫生/醫院)是否報備給了 First Student (我們的理賠部門).

如果您看到是網外的醫生/醫院, 您可能需要先行墊付然后郵寄原始帳單,收據發票以及理賠表到我們的理賠部門. 然后,我們的理賠部門會根據您對應當保險手冊上的說明返還給您。


You need to download and print your ID Card & Claim Form from your PSI online account then submit Medical Claims by Mail or Electronically:

BY MAIL - Send this Claim Form & All Itemized Bills to:

First Student
P.O. Box 809025
Dallas, TX 75380-9025

Please fill out the entire first page and be sure to indicate your current address when you submit this. Your doctor will need to fill out the second page of the form

ELECTRONICALLY - Doctors/Hospitals can also submit a claim electronically, using Emedeon (formerly WebMD). This gives a faster turn-around time than submitting a claim by mail. Check with
your doctor to see if they are a participant. If they are, show them your ID Card. Electronic Data interchange (EDI) Payor ID: 74227

You can check your claim status by calling First Student at 1-888-302-6182 or email customerservice@uhcsr.com.

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ IMPORTANT THINGS TO KNOW ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

1. Always bring your PSI ID Card & Claim Form when you visit the hospital. You can download this from your PSI online account.

2. If you pay for your medical bills upfront, please complete a Claim Form and attached all itemized bills, statements, and receipts attached, and send it to our claims division by Mail. For details on how to file claims, please click here

3. If a Preferred Provider is not available in the Network Area, benefits will be paid at the level of benefits shown as Preferred Provider benefits. Please keep in mind, although the website is updated frequently, it does not always reflect the most up to date information. Prior to being seen, you should always confirm the Preferred Provider is part of the network, as this can change without notice by calling 1-888-302-6182 and/or by asking the Doctor/Hospital. Network Area is 50 mile radius around your school campus.

4. If the Covered Medical Expense is incurred due to a Medical Emergency, benefits will be paid at the Preferred Provider level of benefits.


 我如何取得理賠表? ∧ 頂部 ∧ 
If you would like to submit a paper claim for reimbursement for a prescription that you paid for out of pocket, please print a copy of this Prescription Claim Form. After filling out the necessary information, please read the acknowledgement carefully (located at the bottom of page) and sign and date in the space provided. To submit a Generic Reimbursement Claim Form, please be sure your receipts are complete. In order for your request to be processed, all receipts must contain the information listed below:

  • Date prescription filled
  • Name and address of pharmacy
  • Doctor name or ID number
  • NDC number (drug number)
  • Name of drug and strength
  • Quantity and days’ supply
  • Prescription number (Rx number)
  • DAW (Dispense As Written)
  • Amount paid

This information can usually be found on the receipt which is stapled on the outside of the packaging or in some cases located inside. Your pharmacist can provide the necessary information
as well.

Please mail completed form and receipt(s) to:
FIRST STUDENT
P.O. Box 809025
Dallas, TX 75380-9025

 需要多久時間處理我的理賠? ∧ 頂部 ∧ 

在30個工作日內我們的理賠部門會處理好您的理賠.

 為什么我的理賠需要部分支付或者被拒絕? ∧ 頂部 ∧ 

無論是部分支付,掛起或拒絕,我們都會有一份"保險解釋說明"轉發到被保險人和醫生/醫院告知他們我們的處理動作。 當您向我們的理賠部門提交理賠時,下列項目將決定您的金額外的自費費用:

1) 支付網絡醫生/醫院和網外醫生/醫院的差異.

2) 環境對是否有免賠額和共同支付應用和相應的數額.

3) 支付的比例參與將根據您的保險范圍附表.

所有的理賠范圍在您的保險手冊中都有詳盡的說明.

 為什么我在郵箱中收到帳單? ∧ 頂部 ∧ 

大多數的醫院使用電腦計費然后會自動的發出他們的帳單, 他們有不同的健康保險計劃,所以有可能他們沒有郵寄正確。 通常他們會隨附一個理賠表,上面會有我們理賠部門的地址,如下:

First Student
P.O. Box 809025
Dallas, TX 75380-9025
1-888-302-6182

 ∧ 頂部 ∧