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File an Appeal

Welcome to the File an Appeal Center! We are here to help you correctly submit your appeal, and ensure a faster turn-around time to have your claim reprocessed or reimbursement check mailed.

To file an appeal, please include the following information:

  1. A letter requesting an appeal to your claim(s), including your:
    • Name
    • Address
    • Phone number
    • UnitedHealthcare Student ID number
    • Date of service for your injury/sickness
    • Claim number(s) (located on the top of your Explanation of Benefits)
    • Email address
  2. A copy of your Explanation of Benefits for the claim(s) in question.
  3. Medical Records including all test results from all providers visited for the specific injury/sickness that you are appealing.

Once we receive the documentation, your appeal will be reviewed and a written response will be mailed to you. The response will include what the findings were, if the appeal was approved or denied, and the reason for the final decision.

If you have a question about your claim denial, you may call our Customer Service Department at telephone number 1-800-505-4160 for further explanation to informally resolve your appeal. If you are not satisfied with our explanation of why the claim was denied, you, or your authorized representative, may request an internal review of the claim denial. (for more information about an authorized representative, please click on “forms” on the left).

File a Prescription Claim

File a Prescription Claim

 

Welcome to the File a Prescription Claim Center! We understand the hassles that come along with filing your claims, which is why we want to make this process as quick and painless for you as possible. Below you will find all the information you will need to file a prescription claim.

If you would like to submit a paper claim for reimbursement for a prescription that you paid for out of pocket, please print a copy of the Reimbursement Claim Form located below.

After filling out the necessary information, please read the acknowledgement carefully (located at the bottom of page1) and sign and date in the space provided.

To submit a Reimbursement Claim Form, please be sure your receipts are complete. In order for your request to be processed, all receipts must contain the information listed below:

  • Date prescription filled
  • Name and address of pharmacy
  • Doctor name or ID number
  • NDC number (drug number)
  • Name of drug and strength
  • Quantity and days’ supply
  • Prescription number (Rx number)
  • DAW (Dispense As Written)
  • Amount paid

This information can usually be found on the receipt which is stapled on the outside of the packaging or in some cases located inside. Your pharmacist can provide the necessary information if not.

Please mail completed form and receipt(s) to:

OptumRx Claims Department

P.O. Box 29044

Hot Springs, AR 71903

 

File a Medical Claim

Welcome to the File a Medical Claim Center! We understand the hassles that come along with filing your claims, which is why we want to make this process as quick and painless for you as possible. Below you will find all the information you will need to file a medical claim.

Submit a Claim by Mail

It’s easy! Just download the claim form below. Fill out the first page with your personal information, dates of injury or sickness, the cause of the injury or date of first symptoms for a sickness, sign your name with today’s date, and attach all receipts. Please fill out the entire first page and be sure not to leave anything blank.

Medical Claim Form

Your doctor will need to fill out the second page of the form.

Mail Claim Forms to:
FIRSTSTUDENT
P.O. Box 809025
Dallas, TX 75380-9025

Submit a Claim Electronically

Your Doctor can also submit a claim electronically, using Emedeon (formerly WebMD). This gives a faster turn-around time than submitting a claim by mail. Check with your doctor to see if they are a participant. If they are, show them your ID Card. The Emedeon information is printed on the back of every ID Card.

If you have any problems filling-out these forms or would like to talk to a customer service representative, you can call us toll free at: 1-800-505-4160 or

CONTACT US

Student / Dependent Enrollment

Welcome to the Student / Dependent Enrollment Center! We are here to help make enrolling as easy and as painless as possible.

We suggest you review the brochure for your rates, effective dates and optional coverages before starting the enrollment process. The plan’s benefits can be found in the brochure within the Schedule of Benefits section with the exclusions towards the back.

View your brochure

2013 – 2014 School Year

STUDENTÂ ENROLLMENTÂ INSTRUCTIONS
Plans Silver, Gold, Platinum & DiamondÂ
If you are a……
International student with F-1 Visa who is enrolled in a full-time associate, bachelor, master or Ph.D degree program or Formal ESL program at a university and are currently registered with no less than 6 credits hours (unless such school’s full-time status requires less credit hours), or an International Visiting Scholar with J-1 Visas. (The six credit hours is waived for summer, if the applicant was enrolled in this plan as a full-time student in the immediately precedent spring term)  you are eligible to enroll. Please see contact information below to enroll.

DEPENDENTÂ ENROLLMENTÂ INSTRUCTIONS
Students who do enroll may also insure their eligible dependents.
For enrollment information please contact Professional Services, Inc. at 1-888-789-4488 or visit their web site:

professional services, inc.

 

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PRIVACY POLICY

 

Dental, Vision and Other Discount Services

Dental, Vision and Other Discount Services

 

Included with your student health insurance policy is the UnitedHealth Allies discount card. We’re confident that the UnitedHealth Allies program can help you stretch your health care dollar on:

Dental Care

Save from 10% to 35% on a range of dental services including routine cleaning, x-rays, even cosmetic dentistry, such as teeth whitening.

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Vision Care

Pay no more than $40 for an annual eye exam, save 10% to 20% on eyeglasses from participating eye care professionals and retail vision chains and fittings for contact lenses (not included in annual eye exams).

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Wellness products and services

Be healthier and save money with discounts of 10% to 50% on weight management, fitness memberships and equipment, relaxation resources, natural products and vitamins and supplements. For a complete UnitedHealth Allies brochure on Dental Care, Vision Care and Wellness Products and Services please click on the link below:

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UnitedHealth Allies is not insurance. UnitedHealth Allies provides discounts at certain health care providers for medical services. UnitedHealth Allies does not make payments directly to the providers of medical services. The program member is obligated to pay for all health care services but will receive a discount from those healthcare providers who have contracted with the discount plan organization.

Customer Services

Welcome to the Customer Service Center! We are excited to assist you with any and all questions you may have regarding your policy. From questions about benefits, claims concerns, to enrollment status, and more. Customer Service is here to help!

Customer satisfaction is our top priority. We recognize the importance of understanding your policy, and know how difficult it can be to navigate through your health insurance. This site is our solution to making your life easier, and providing the answers to your questions right away.

With a click of a button you will have all the information you need regarding your policy right at your fingertips!

On the left hand side we have provided you with a number of links and downloads for immediate access to any questions you may have regarding your school’s student insurance plan.

If you don’t see what you are looking for, or would like to speak to a live representative, it will be our pleasure to assist you. We provide you with three options to contact us!

 

Speak to a Live Customer Service Representative

 

Send us an Email

 

Send us a letter

Â

Call toll free1-800-505-41607 am – 7 pm CST CONTACT US We pride ourselves on returning all emails! FIRSTSTUDENT
PO Box 809067
Dallas, TX 75380-9067

 

 

Check Claim Status

If you are a student and would like to check on the status of a claim that you or a provider submitted to UnitedHealthcare, you will need to set up a My Account if you have not already done so.

Please visit our My Account center to log in to an existing account or to create a new one.

Call a Nurse

Welcome to the Collegiate Assistance Center!

It’s Simple – It’s Convenient –
Just call our toll-free number 24 hours a day – 7 days a week

Nurseline

Now you can talk with a Registered Nurse any time, day, or night. A caring professional can help you make informed decisions about your health. Collegiate Assistance Program can give you information and support when you:

  • Aren’t sure if you have a serious medical problem?
  • Want to learn how to take care of a new or chronic condition?
  • Need information about medications, tests, or procedures?

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Asking Questions

Staying Healthy starts by asking questions. No question is too simple or complex when you need answers. Our Registered Nurses are there for you.

“I noticed a strange rash on my arms recently that won’t go away. What should I do?”

“I’ve has a bad cold for several days. What else can I do to treat it at home?”

“I fell yesterday and my ankle still hurts. Should I go to the Emergency Room?”

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Complex Decisions

Some health problems are more complicated than others. Our nurses can help you understand risk factors and treatment options.

“I was just prescribed a new medication and now I feel dizzy sometimes. Could that be
a side effect?”

“I have been drinking more frequently and am afraid I may have a problem. Should I talk
to someone about this?”

“I’m worried I may be pregnant. What should I do?”

“I’m embarrassed to talk to my family doctor about sexually transmitted diseases. What
other options do I have?”

Collegiate Assistance Program focuses on Early Intervention and Prevention. Research shows that people who are more informed make better decisions and have better results.

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Telephone/Online Counseling

Facing stressful or emotional issues? Our Master’s Level Clinicians are available 24/7 to listen carefully and help direct you to the right resources for your situation.

“I can’t sleep at night and have been really stressed. Should I see someone?”

“I feel tired all the time and I have trouble getting out of bed sometimes. Could I be
depressed?”

“I feel worthless and sometimes think about hurting myself. What should I do?”

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Legal and Financial Services

You may also turn to our Collegiate Assistance Program for non-clinical issues such as mounting credit card debt, divorce, child custody matters and shelter from abusive relationships.

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Innovative Web-Based Services

Our website for students, www.liveandworkwell.com offers a wealth of information and helpful resources to develop self-improvement strategies.

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Please note:
Collegiate Assistance Program is not a substitute for medical attention. If you have an emergency medical condition, please call 911 or your local emergency services number.

Review Brochures

Welcome to the Review Brochures Center! You will find everything you will need to know about your policy in your plan brochure such as eligibility, effective and termination dates, plan benefits, any exclusions or limitations, and instructions on how to file a claim.

2013 – 2014 School Year

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Silver Plan

Gold Plan

Platinum Plan

Diamond Plan

2012 – 2013 School Year

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Plan C

Plan D

Plan E

 

Waive Your School’s Insurance

Welcome to the Waive Your School’s Insurance Center!

This page is for those students who wish to opt-out (waive) out of the coverage under their school’s student insurance plan, and have the fee removed from their student account. The school’s student insurance plan can only be waived if the student has coverage under another acceptable insurance plan.

Submitting a waiver, is as easy as 123! The first step to waive out of your school’s student insurance coverage is to verify that you are a “hard waiver” student.

2013 – 2014 School Year

A hard waiver student for your school is:
All Compulsory students. If this is you then, you would be considered a hard waiver student. Hard waiver students are required to have health insurance to attend Palmer Theological Seminary. You must complete a waiver or enroll in the University’s policy, by:

  • Fall Waiver Deadline:Â 9/14/13
  • Spring Waiver Deadline:Â 2/1/14


After you verify that you are a hard waiver student and have other insurance, here’s what you will need:

  • Your current health insurance plan ID card;
  • Your health insurance brochure or plan description (or you might want mom & dad’s phone number handy to help answer some of the waiver questions.) There might be a few questions about your current plan.


To complete the waiver process, please contact the Student Accounts office.

 

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If you have any questions about the waiver process, please call 800-505-4160 or

CONTACT US

We are always happy to help in anyway.
PRIVACY POLICY

 

Legal


Contact


1-888-251-6253
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