Submit your Reimbursement Claims incurred in 2012 at any
time
Many believe that claims can only be submitted at the end of the year; this is
false. It is actually recommended that you submit your claims during the year.
You can submit your claims either when you fill up a Claim Form or you feel
your claim amount is sufficient to warrant the $2.50 processing fee.
The process goes more smoothly when claims are submitted as they are incurred.
If you are missing information for a claim, it is much easier to obtain
required documentation shortly after the services are rendered. Take the year
end stress out of submitting your claims and submit them as you go!
Important Reimbursement Claim Information
Effective immediately, proof of actual payment for claims is no longer
required and should not be submitted. The Flex Plan is only required to
verify that members have incurred covered expenses. Evidence of Expense
must be submitted for all claims. For medical services an Explanation of
Benefits (EOB) is the only document that should be submitted. If an EOB is
not available, a written statement from the provider containing the
information described on the claim form may be submitted.
All claim forms have been redesigned to include detailed instructions on how
to file your claim as well as what documentation must be submitted to
satisfy the Evidence of Expense requirements. If you have any claim forms
with a revision date before June, 2011, please discard them.
Verify the receipt of a fax, document or e-mail on-line
Faxes are generally recorded within 30 minutes of receipt during our
business hours. You can see what documents we have received from you after
logging-in by clicking on "Documents Received". Mail, depending on our
volume, may take 1 to 2 days to display after receipt.
Fax or Email transmission of combined documents
If a claim is faxed or emailed, each fax or email transmission should contain
only 1 claim form and the supporting documentation for that claim. Although
these instructions are provided on our claim forms and in quarterly statements
we continue to receive multiple claims mixed together. You will see these
items identified as "Combined Documents". These documents will be returned to
you to resubmit. Each claim we return to you will contain a claim number. If
the claim is returned with our claim number on it, it will be honored as of the
original received date but will be processed in the next available payout. If
the items returned do not contain our claim number, it will be processed as a
new claim. 2010 claims will not be paid without a claim number.
Email Validation Procedure
If you have not enrolled on-line, the first time you log in you will be asked
to provide your email address. You will then be sent a validation
e-mail. When you receive the e-mail, click on the link, and you will be
prompted to enter your PIN. Once you enter your PIN you will be logged
in. This process must be completed one time prior to accessing your
personal account information. Once you have validated your account, you may
login as usual.
The Entertainment Industry Flex Plan began more than 24 years ago to provide benefit solutions for Union Members in the 'Industry'. During this lengthy period of time, we have evolved to represent several affiliations of Unions throughout the United States and more than 22,000 members. As a result, we have learned and therefore refined what we do to continually improve service to our membership.