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We found (6) results for “Claims Not on File”.
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Choose the type of claim you'd like to submit.
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You can submit out-of-network medical and behavioral claims using the Horizon Blue App or by mail.
Horizon Blue App:
To submit these claims using the Horizon Blue App, sign in to the Horizon Blue App and tap Claims, then Submit a Claim. Please note that this option is available on the Horizon Blue App only, not our website.
By Mail:
To submit these claims by mail, please include the appropriate claim form below and mail it, and the required information listed on the form, to the address on the form:
- Merck members: Merck Health Insurance Claim Form
- Organon members: Organon Health Insurance Claim Form
- State Health Benefit Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) members: SHBP/SEHBP Medical Plan Claim Form
- All other members: Horizon Health Insurance Claim Form
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- Under Doctors & Care, click Prescriptions.
- If you see Go to Prime Therapeutics: Mail the Prescription Drug Claim Form, and the required information listed on the form, to the address on the form. If you do NOT see Go to Prime Therapeutics: Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can find information about submitting prescription claims.
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Complete the Claim Form - Dental and mail it, and the required information listed on the form, to the address on the form. You can submit out-of-network dental claims by mail only.
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- Click Vision under Doctors & Care.
- Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can locate information about submitting vision claims.
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Last updated:
Sep 29,2023
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The easiest way to submit out-of-network medical claims is through the Horizon Blue app. When you use the Horizon Blue app, you don’t need to submit a claim form by mail.
If you prefer to submit out-of-network medical claims by mail, you will need to include the appropriate claim form listed below and mail it, and the required information listed on the form, to the address on the form:
- Merck members: Merck Health Insurance Claim Form
- Organon members: Organon Health Insurance Claim Form
- State Health Benefit Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) members: SHBP/SEHBP Medical Plan Claim Form
- All other members: Horizon Health Insurance Claim Form
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Last updated:
Dec 20,2022
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Audience:
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- Sign in to your account.
- Click Horizon MyWay under My Accounts.
- Scroll down and click View More Activity.
- Scroll down. Under "I Want To" (the blue menu on the left-hand side), click Get Reimbursed.
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Last updated:
Nov 10,2022
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Audience:
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- Click Vision under Doctors & Care.
- Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can locate information about submitting vision claims.
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Last updated:
Dec 16,2022
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Audience:
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The easiest way to submit out-of-network mental health and SUD claims is through the Horizon Blue app. When you use the Horizon Blue app, you don’t need to submit a claim form by mail.
When you submit out-of-network mental health and SUD claims by mail, you will need to include the appropriate claim form listed below and mail it, and the required information listed on the form, to the address on the form:
- Merck members: Merck Health Insurance Claim Form
- Organon members: Organon Health Insurance Claim Form
- State Health Benefit Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) members: SHBP/SEHBP Medical Plan Claim Form
- All other members: Horizon Health Insurance Claim Form
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Last updated:
Dec 20,2022
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Topics:
Audience:
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- Under Doctors & Care, click Prescriptions.
- If you see Go to Prime Therapeutics: Mail the Prescription Drug/COVID-19 At Home Test Kit Claim Form to the address on the form. If you do NOT see Go to Prime Therapeutics: Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can find information about submitting prescription claims.
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Last updated:
Dec 16,2022
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