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索赔信息
        我如何找出一个索赔状况?
        我如何索赔?
        我如何取得索赔表格?
        多久会处理我的索赔申请?
        为什么我的索赔支付部分或遭到拒绝?
        为什么我在邮件中收到了帐单?
我如何找出一个索赔状况?

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/.

 我如何索赔? ∧ 顶部 ∧ 

当您去我们推荐的医院或者是看我们推荐的医生时,请出示您的PSI ID Card和Claim Form,让他们直接把账单开给我们. 如果您收到院方的账单,请检查是需要支付的账单还是已支付的账单信息,因为 很多医院会把从PSI结算的到期账单信息寄给您.如果确实是需要支付的账单,请咨询院方是否给我们的理赔部门(First Student)提交过账单.

当您去非推荐医院或者是看非推荐医生时,您可能需要先垫付医疗费用,然后把您的医疗账单原件,发票原件和Claim Form寄给我们的 理赔部门(First Student). 我们的理赔部门将根据您的保单承保范围给您报销.


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.


 我如何获得一份索赔表? ∧ 顶部 ∧ 
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

 多久需要处理我的索赔申请? ∧ 顶部 ∧ 

我们的理赔部门将会在30个工作日内处理您的索赔申请.

 为什么我的索赔支付部分或遭到拒绝? ∧ 顶部 ∧ 

无论是部分支付还是拒绝支付我们都会给您和院方解释原因.当您向我们的理赔部门提交账单时,如下情况可能影响您需要支付的现金额度:

1) 举荐的医院和非举荐医院的理赔金额可能不同.

2) 是否有免赔额等条件也影响理赔金额.

3) PSI目前的理赔是按照您保险手册上的保障范围.

请记住所有的理赔都要取决于您的保险手册上的保障范围.

  为什么我在邮件中收到了帐单? ∧ 顶部 ∧ 

大多数的Providers使用系统生成帐单并且由电脑自动发送,Providers有很多不同的保险计划,因此他们有可能没有发送正确.
通常他们会附上一个索赔表(Claim Form),上面会有 First Student (我们的理赔部门)的地址. 地址如下所示:

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

 ∧ 顶部 ∧  
(中文版信息供参考,以英文版内容为主)