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Claims

{{Plan Name}}

Claims and coverage are managed securely through the Ellement App.  You will be redirected to our claims platform, where you can:

  • Submit claims for eligible extended health care and/or dental care expenses
  • View your coverage and benefit balances
  • View your claims history

Manage Your Claims

Go to the Ellement App

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Personal Information

Group Number: {{Group number}}
AdjudiCare Number: {{Adjudicare number}}

Direct Billing Providers Near You

Find a healthcare provider who offers direct billing through eClaims to simplify your benefits experience. Using a direct billing provider with eClaims means your claims are submitted electronically on your behalf, so you can avoid paying out-of-pocket upfront.

Find an eClaims Provider

Prior Authorization

Certain prescription drugs require prior authorization to ensure they meet your plan’s eligibility criteria. A prior authorization form must be completed and approved in advance for the medication or treatment to be covered and reimbursed under your plan.

To access the forms, you’ll need your carrier number ({{34}}) and group number ({{plan number}}).

Access Prior Authorization Forms