Submit a claim

Web

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Submit a claim

1. Log in to the member portal using your username and password.
2. Click Submit a Claim in the top right corner of the screen.
3. A drop-down menu with options to submit a Health, Drug or Dental claim will appear. Select the appropriate claim type.
4. Select the patient you will submit the claim for by clicking on their name.

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5. Select a service provider from your recent health providers listed below the search bar, or enter the following service provider's details:
   a. name,
   b. address,
   c. phone number,
   d. and license or registration number.
6. On the next page, enter the claim details as they appear on your receipt:
   a. Search for the service code by typing in the Name (Health), Procedure Code (Dental) or DIN (Drug) of the service provided.
   b. Enter the service date and the total cost of the service.
7. If any other insurance has paid a portion of your claimed amount, check the box for additional coverage and enter the amount paid by the primary plan.
8. To apply any unpaid balance to your healthcare spending account, activate the Apply Balance to HCSA on the left side of the screen by clicking the toggle button.

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To claim multiple services

1. Click Add another service and complete the claim details for each additional claim item.
2. You'll see the services added to your claim listed at the top of the screen.

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Finalize submitting your claim(s)

1. After entering your claim details, select Next to add receipts and supporting documents to your claim. If a Primary Plan has paid any amount, add the additional coverage statement to your submission.
2. Once you have attached your documents, select next and review your submission. Make sure that all information is correct. To make any adjustments, select the Cancel button.
3. Click Submit at the bottom of the screen to submit your claim for processing.
4. Review the acknowledgments and check I agree.

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Reviewing Claim Status

1. Once your claim is submitted, you can check your claim status on your dashboard under Recent Claims or History.

Read Filtering Claim History (on the web and mobile app) to learn more about viewing and filtering your submitted claims.

Mobile

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Submit your claim(s)

1. Log in to the Ellement App using your username and password.
2. Tap the + button in the bottom centre of your screen.
3. A menu with options to submit a Health, Drug or Dental claim will appear. Select the appropriate claim type for the service.
4. Select the patient for whom you are submitting the claim.

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Enter the claim details

1. Enter the service provider's name, address, phone number, and License or Registration Number.
2. Enter your claim details as they appear on your receipt.
   a. Search for the service code by typing in the Name (Health), Procedure Code (Dental) or DIN (Drug) of the service provided.
   b. Enter the service date and the total cost.
3. Check the box for additional coverage if any other insurance has paid a portion of your claimed amount.
4. You can submit multiple claims for the same provider by tapping Add another service

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Finalize submitting your claim(s)

1. Tap Next to add receipts and support documents to your claim.
2. Tap Submit to submit your claim for processing.
3. Review the acknowledgments and tap the box to agree to the terms.
4. Once you submit your claim(s) for review, you can check your claim status on your dashboard under Recent Claims.