Unified Fire Authority Benefit Guide (1) | Page 34

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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