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PHSP Claims Processing
Depending on how the health plan is funded will determine how the claims are processed.
For Monthly Billing
- With A Pay Direct Card:
- Pharmacy and dental claims are paid immediately with the card as long as they are still within the employee limits.
- For other practitioners, the employee submits the receipt along with a claims form. DHC issues a cheque to the employee to reimburse him or her for the claims submitted.
- Can be set up on an "as earned" basis.
- Without A Pay Direct Card:
For all practitioners the employee submits the receipt along with a claim form. DHC issues a cheque to the employee to reimburse him or her for the claims submitted.
For Trust Fund Deposits
- For all practitioners the employee submits the receipt along with a claim form. DHC issues a cheque to the employee to reimburse him or her for the claims submitted.
For Per Claim Funding
- The employee submits a claim which must include the original receipt.
- DHC issues a cheque to the employee to reimburse him or her for the claims submitted.
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