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Claim Procedure Massachusetts
College of Pharmacy
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Bills must be submitted within 90 days from
the date of treatment. Typically bills can be
forwarded to Bollinger directly by the provider
(doctor, hospital, etc.). However, if an insured
student receives a bill, he/she can submit the
bill to Bollinger as well. The address for submitting
bills is as follows:
Bollinger, Inc.
P.O. Box 727 Short Hills, NJ 07078 866-267-0092
(Claims/Coverage Questions) 800-526-1379
(Other Questions)
Bills must properly
identify the name of the student and the name
of the school.
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Payment for Covered Medical Expenses will be
made directly to the Hospital or Physician concerned
unless bill receipts and proof of payment are
submitted.
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No claim forms are required. In the event that
additional information is needed to determine
benefits, Bollinger, Inc. will request the necessary
information from you or your medical provider.
The information will be requested via an Explanation
of Benefits (EOB).
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One piece of additional information that may
be required concerns other insurance the student
may have in force. The school sponsored Student
Health Insurance Plan is excess to any other
insurance in place. To avoid possible claims
processing delays, please consider completing
the attached Claim Form, taking careful note
of the “Statement of Other Insurance” section.
Please complete details of your parent (s) employers
or your employer and any insurance you may have
through those employers. If you do not have
other insurance, please be sure to check off
all answers that apply under number 9. of that
section.
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If you or your parent (s) are employed but do
not have other insurance, please supply a statement
of verification from the employer on their letterhead.
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In the event of a disagreement over the payment
of a claim, a written request to review the
claim must be mailed to Bollinger, Inc. within
60 days from the date appearing on the Explanation
of Benefits.
Click here for a Claim Form
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