Claims Process
One of the unique advantages of Alliance Med Bridge GAP insurance policy is that healthcare providers are able to file all of the claims for patients via an electronic payer code that is clearly labeled on the member’s secondary insurance card (note providers can also file US mail). Here is how the claims process works:
1
Member Shows
Both Cards
Provide both primary & secondary cards at visit.
2
Provider
Verification
Provider verifies coverage with both primary and secondary insurance. Verification Information shown on the back of member ID Card.
3
Provider Files
the Claim
Once the primary insurance has processed the claim, the provider will submit the claim to the secondary insurance by filing electronically or by mail.
4
Alliance Pays
Provider
Secondary insurance processes the claim. The claim will be sent to the provider and the member.
Register for the MedMutual Protect Member Portal
The MedMutual Protect Employee Portal helps members understand and manage their GAP insurance policy benefits.
When employers provide MedMutual Protect GAP insurance through Alliance Med Bridge, employees receive welcome letters with registration instructions on how to access the portal.
Claim Reimbursement
First, you need to obtain a copy of your Major Medical EOB (Explanation of Benefit) and Itemized Statement from your healthcare provider, showing procedures performed.
- The EOB can be found online via your primary insurance carrier’s portal or you will receive it via mail.
- The Itemized Statement (or HCFA) can be obtained from your physician’s office/hospital of care.
- You will also need to complete a MedMutual Protect reimbursement form; download by clicking the button below.
Once you have obtained these items and completed the Claim Form, you may file the claim to MedMutual Protect via online, fax, or mail:
Electronic File
Online Submission:
MedMutualProtect.LoomisLive.com
Fax: (610) 374-6986
File via Mail
MedMutual Protect
PO Box 14327
Reading, PA 19612-4327
