Claims
must be submitted with a completed claim form. Each bill submitted must
have the following information:
- employee/member
name & social security number,
- patient
name,
- employer/group
name & number,
- provider's
signature,
- diagnosis
code(s),
- procedure
code(s)
- provider's
name, address, telephone number and tax ID number
- Complete
a claim form (including the appropriate signatures) for filing all benefits.
- Submit
the form with a copy of an itemized bill to the address shown below
for processing. The diagnosis and procedure codes must be included on
the bill. If the diagnosis is not shown on the itemized hospital bill,
please have your doctor complete page 2 of the claim form.
- Benefits
are not assignable.
The
employee should submit claims within 30 days of the event.
All claims should be submitted to:
Pioneer Management Systems
Attention: A Markel Insurance Company Business Partner
P.O. Box 6600
Holyoke, MA 01041For claims customer service, call:
Toll Free 1-(866) 653-2542
Monday-Friday 8:00 AM to 5:00 PM
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Payment
of Claims
After receiving written proof of loss, all benefits will be paid to the
employee, if living, or, in the event of the employee’s death, to
the employee’s estate. It is not required that the service be rendered
by a particular hospital or provider.
Payment will be made by Pioneer Management Systems on behalf of the carrier,
Markel Insurance Company.
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