Submit claims in the web app

Web App

Discover how the Ellement Online Claims web app allows you to submit and check your claim status on your computer.

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

Step 3 - services menu

Step 4 - selecting a patient

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.
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.
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.
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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Step 5 - selecting a service provider

Step 6 - claim details

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

Step 1 - add another service

Step 2 - additional services

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.
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.
Click Submit at the bottom of the screen to submit your claim for processing.
Review the acknowledgments and check I agree.