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Understanding claims,
billing and payments.

Whenever you see a doctor, they should submit a claim on your behalf*. You can view your claim status by logging in or registering an account online.

How is a claim different from Explanation of Benefits? 

A claim lets us know what medical services were provided to you. We use this information to determine how much we need to pay the provider or facility.

As we process a claim, we also create an Explanation of Benefits (EOB). This document shows you how much Select Health is paying towards your bill and how much you may be responsible for.

While an EOB includes the amount you may owe, it is NOT a bill. You can pay your bill online or by contacting your provider directly. 

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Understanding your Out-of-Pocket expenses

What you owe can be impacted by your plan’s coinsurance percentages or copayments. You will likely be responsible for at least some of your bill if you haven’t reached your deductible or out-of-pocket maximum.

Learn more

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How long does it take to process a claim?

Once a claim is received from your provider, the claims status will show as “In Progress” in your online Select Health account until it is processed. Checking the status of a claim is easy through your member account or the Select Health mobile app (Android | iOS) .

Still have questions?

*In rare cases, you may have to submit a claim yourself. You can also choose to submit a claim in place of your provider. Generally, claims must be submitted within one year from the date of service. You can find the Claims Reimbursement Form, with additional instructions, here