Equitable Life of Canada

1-800-265-4556

Group-health-claims@equitable.ca

Claims adjudication is available 24 hours a day, seven days a week, except during maintenance windows.

Providers will receive immediate confirmation about whether a claim was approved or rejected. For claims that require additional information and are under review, we typically respond within 2 to 5 business days. We will send any response or payment associated with the claim directly to the plan member.

No

Yes

Yes

We will make direct deposit payments daily based on the account information that was provided at time of registration for TELUS eClaims. We will not make direct deposit payments for claims that are selected for review. For these claims, the provider should collect payment directly from the patient. We will send any response or payment associated with the claim directly to the plan member. We do not provide a reconciliation statement for direct deposit payments. However providers / practitioners can access their submission history through the TELUS eClaims portal.

Automatic co-ordination of benefits is not available. Providers can submit the claim under the primary plan first. Once we provide confirmation about the claim decision, providers may then submit the balance separately under the secondary plan.

Please see the sample card shown below:

Yes

Expenses for the following specialized healthcare providers are supported:

• Acupuncturists

• Chiropractors

• Chiropodists

• Massage therapists

• Naturopathic doctors

• Opticians

• Optometrists

• Osteopaths

• Physiotherapists

• Physiotherapist technologists

• Podiatrists

• Psychologists

• Psychotherapists

• Speech language pathologists

Yes, electronic statements are posted on the eClaims portal the same day as the payment. Statements are available for payments made Monday to Friday.