Unified Fire Authority 2024-2025 Employee Benefit Guide | Page 33

Unified Fire Authority

SUBMITTING A CLAIM GUIDE

SUBMIT YOUR CLAIM EITHER ONLINE OR MANUALLY

Request a reimbursement from your account online or manually . To submit online follow these steps : 1 . You ’ ll need a copy of a receipt or Explanation of Benefits ( EOB ) from your provider that shows the services rendered . Save this receipt or EOB 2 . Go your APA Benefits account at https :// apabenefits . lh1ondemand . com

1 . If you have never logged in before :

Username = your first initial and last name . Example Ben Sample ' bsample ' Password = last four of your SSN #.

Online Claim Entry Steps

• From the top menu bar select Claims > Claims Entry .

• Benefit type : Select Type

• Enter in Service dates and total amounts from EOB ’ s , complete the rest of the claim sections and select ADD

• If you have more claims , enter in the additional claim information and select ADD . If you are done entering claims in , scroll to the bottom and select CONTINUE

Attaching Receipts or EOB ( s ) for Online Claims

• Select the second radio button and click CONTINUE

• Select “ Add Attachment ” check box and select ADD

• Scroll down and select Add Attachment hyperlink .

• Choose the Receipt option , browse and attached your EOB ’ s , repeat for as many claims as you entered in and click SUBMIT

• Overall progress bar located at the top should now show at 100 %

Manual Claims Steps

• Complete form , sign , attach receipts or EOB ' s and send to APA Benefits

• Email : Claims @ apabenefits . com

• Fax : 801-561-5056

• Mail : 8899 S 700 E , Suite 225 Sandy , UT 84070

To access the manual claim form , click on this hyperlink .

CLAIM TIPS

• Check on the status of your claim go to Claims > Claim History

• Pending Approval = submitted claim waiting for adjudication

• Additional Information Required = more information needed to process the claim

• A receipt or EOB statement is required before claim processing can begin .

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