Embed Size (px)
Citation preview
MEMBER PORTAL & MOBILE APPYour Member Portal gives you 24/7 access to manage your ArmadaCare claims. With the secure Member Portal, you can:
» File claims online*» Upload documentation» View claim status and notifications» Refer to reimbursement history» See balance of benefit limits (by category)» Set up direct deposit for faster reimbursements
* Portal login is for the primary member only. Dependents do not receive their ownlogin, but dependent claims can be filed using the primary member’s portal login.
For security purposes, you will have limited access to the ArmadaCare Member Portal and mobile app when traveling outside the U.S. and Puerto Rico. Access will only be available in these international countries: Canada, France, Germany and Mexico.
1
Please click on the question and it will link to the answer in this document.
1. How do I log on?
2. How do I file a claim and upload documentation?
3. How do I set up direct deposit?
4. How do I get tips on filing claims?
5. How do I see notifications?
6. How do I find information on my ArmadaCare plan?
7. How do I upload additional documentation to an existing claim?
8. How do I change my username, password and security questions?
9. How do I see the status of claims?
10. How do I view my reimbursement history?
11. How do I use the mobile app?
12. How do I see notifications on the mobile app?
13. How do I change my password using the mobile app?
1. HOW DO I LOG ON?
MEMBER PORTAL & MOBILE APP
2. HOW DO I FILE A CLAIM AND UPLOAD DOCUMENTATION?
OR
» Please be sure to file one claim for each date of service and each claimant. Do not file multiplerequests in a single claim or there will be a delay in processing your claim.
» On the Home Page, select the “I want to… File a Claim” button.
» Enter your claim information inthe designated fields.
» Click Next. The claim is thenadded to the Claims Basket.
» If you are submitting more than one claim, click Add Another, select theAccount/Benefit Category, complete the form and click Add Claim.
» When all claims are entered in the Claims Basket, agree to Terms andConditions, and click Submit to send the claims for processing.
» The Claim Confirmation will display. You may print the ClaimConfirmation as a record of your submission.
PRO TIP: Once you log out,your claims will be deleted if they are not submitted. If you need to log out, please submit any claims you have uploaded instead of using the “save for later” button.
» Select the appropriate plan from the dropdown menu (covered medical, Rx, vision, dental, etc).Then select Me from the Pay To dropdown.
» Next, click on Upload Valid Documentation and follow the onscreen prompts to upload theExplanation of Benefits from your primary insurance, provider invoice, or required documentation.Select Next to proceed to the next step of the filing process.(Note: Your documentation must be JPEG,GIF, PNG, or PDF and cannot exceed 8MB.)
2
To log into your Member Portal, visit:
Ultimate Health: www.ArmadaCare.com/myaccountPlena Health: www.ArmadaCare.com/myportalComplaMed: www.ArmadaCare.com/myclaims
» You’ll find instructions for your username and temporary password on the login page ofthe Member Portal
MEMBER PORTAL & MOBILE APP
3
3. HOW DO I SET UP DIRECT DEPOSIT?
The fastest and most secure way to get reimbursed is to sign up online for direct deposit to your personal checking or savings account.
» When hovering over Accounts, under the Profile tab, click Banking and then selectAdd Bank Account.
» The Banking/Add Bank Account page displays.
» Enter your bank account information and click Submit.
» The Payment Method Changed confirmation displays.
PRO TIP: You can nowupdate the method of payment to direct deposit for each open plan year instead of just the current plan year. You can access this feature from either the Accounts or Profile tabs.
4. HOW DO I GET TIPS ON FILING CLAIMS?
» On the Home Page, go to “How Do I...”
» Follow links to get specifics on how to file claims, see member FAQs and more!
MEMBER PORTAL & MOBILE APP
4
5. HOW DO I SEE NOTIFICATIONS?
6. HOW DO I FIND INFORMATION ON MY ARMADACARE PLAN?
You have two resource centers inside the portal:
» View “How Do I...” on the Home Page for links on filing claims, using your Prescription Visa® cardand other parts of the plan. Below that section, you’ll see a Useful Forms section.
» Go to the Helpful Info tab for videos and links to more in-depth resources.
» On the Home Page, you can click on the Tasks section to see notifications that are waiting foryou to take action.
» By clicking on the Message Center tab, you can View Denials, Requests for More Informationand Payment Notifications
PRO TIP: If you can’t find what you’relooking for, please contact Member Services. Their contact information is listed at the top and bottom of the screen on every page of the portal.
Message Center attachments not visible? Try disabling your pop-up blocker or add this site to the list of those allowed to show pop-ups within your web browser.
Premiums, plans and programs vary by state. For detailed coverage information and plan exclusions and limitations, refer to your specific Certificate of Insurance.
MEMBER PORTAL & MOBILE APP
» On the Home Page, when hovering over Accounts, under the Profile tab, click Login Information.
» Follow instructions on the screen. (The first time you log in with a new account, you will beprompted to change the password we initially assigned to you.)
» Click Submit.
8. HOW DO I CHANGE MY USERNAME, PASSWORD AND SECURITYQUESTIONS?
5
7. HOW DO I UPLOAD DOCUMENTATION TO AN EXISTING CLAIM?
Your claim won’t be processed unless it has the proper documentation. If you receive an RMI (or “request for more information”) on a claim, you don’t need to submit a new claim with that paperwork. Simply add the additional documentation to that claim following these steps:
1. On the Home page of your online Member Portal, scroll down to the Tasks section.
2. Click on Receipts Needed to view your claims.
3. Click on Review Request(s) to view the documentation required to process the claim.
4. Click on Upload Receipts to upload additional documentation. Choose the file you want to add(from your computer) and click submit.
5. The claim will go back in queue for processing, which typically takes 5-7 business days.
10. HOW DO I VIEW MY REIMBURSEMENT HISTORY?
MEMBER PORTAL & MOBILE APP
Under the Accounts tab you will see a section called Payments, click it.
» Click on each payment to view more detail.
» Click Filter By to select the specific Method orStatus or Date to filter the view.
PRO TIP: On the Expenses tab, under Accounts,you can see charts filtered by category, status, year, recipient and provider to give various views into your benefit usage.
6
9. HOW DO I SEE THE STATUS OF CLAIMS?
» Under the Accounts tab select Expenses. You will see the status of claims in the far rightcolumn. The red $ signifies unpaid claims (either ineligible or pending). The yellow $ signifiespartially paid claims. The green $ signifies paid claims.
» Click on the “+” symbol to the left of each claim to see additional information on that specificclaim.
Dr. Harold Green
Central Hospital
Dr. Alice Jacobs
Dr. Alice Jacobs
Dr. Alice Jacobs
$1,000.00
$100.00
MEMBER PORTAL & MOBILE APP
» Use your same username and password as the portal to log in to the Mobile App. Next, it will ask you toassign a passcode. You can then choose to activate Face ID or Touch ID for ease in logging in next time.
» You can use the Mobile App to file claims for the primary member or any dependents, as you do withthe Member Portal. Please be sure to file one claim for each date of service and each claimant. Do notfile multiple reimbursement requests in a single claim or there will be a delay in processing your claim.
» To file a claim, scroll down and click on File a Claim. A pop-up window appears, where you will selecttype of claim (such as Mental Health).
» Then you will complete the following information:
– Date of Service: Date you received care.
– Amount: Amount of reimbursement you are requesting.
– Provider: Name of doctor/licensed provider.
– Category & Type: Choose from the drop-down menu.
– Description (optional): Add a description about the service you received.
– Recipient: Click on Recipient and a window appears that shows the primary member name andany dependents we have on file. Select the name of the claimant for this claim.
– Receipts: Click on Upload Receipt to take a picture of the support documentation or to upload anexisting image from your camera roll. You may upload multiple images per claim.
– Click Submit in the top right corner.
– You can repeat the process to add another claim.
12. HOW DO I SEE NOTIFICATIONS ON THE MOBILE APP?» From the Home Screen, select the Profile icon at the bottom then select Documents.
11. HOW DO I USE THE MOBILE APP?
13. HOW DO I CHANGE MY PASSWORD USING THE MOBILE APP?
PRO TIP: Did you know youcan upload a picture from your camera roll instead of having to take a picture at the time of filing your claim? Just take a picture of your EOB or invoice whenever it is convenient for you (at the doctor/dentist office or the pharmacy). Then file the claim when you reach your home or office.
» Log into the Mobile App using yourfour digit passcode.
Note: If you are unable to log into theapp, you will need to log in using yourcomputer to update your information.
» Select the Profile icon at thebottom of screen.
» Next, select Change Username/Password.
» You can change your usernameand/or password from this screen.
MPM101 1/21
Download the Mobile App by searching for ArmadaCare in your device’s app store.
