Beneva
La Capitale will become Beneva in 2023. How does this affect me?
We'd like to inform you that this insurer will become Beneva on January 1, 2023. Despite the new name and logo, there will be no change required on your part.
As of January 4th, 2023, Beneva insurance cards will begin circulating. Both Beneva by La Capitale, and La Capitale cards will remain in circulation, and claims for both can be submitted to Beneva through the TELUS Health eClaims service.
As of January 8th 2023, La Capitale/Beneva will appear as “Beneva” in the eClaims portal.
How do I contact the insurance company?
1-888-235-0606
What are the hours of adjudication?
Claims are adjudicated 24 hours a day, 7 days a week, excluding occasional maintenance periods.
Once an Acknowledgement is generated, what is the time frame for receiving a response?
Acknowledgements will be processed, and members sent a response, within five business days.
Will the insurer accept a predetermination request that is submitted electronically?
Yes, predetermination requests are accepted.
Is payment to the provider (benefit assignment) possible?
Beneva allows direct payment to the healthcare professional, but only for requests made online. Payments are processed twice a month.
Payment: How will payment be handled for claims submitted using eClaims? Would it be possible to set up a direct deposit option for payments?
Healthcare professionals are paid by cheque or direct deposit based on the information provided when registering with TELUS Health.
Coordination of benefits: Is coordination of benefits possible in cases where the patient has both primary and secondary coverage with the same insurer?
If your patient has both primary and secondary coverage with Beneva, we will respond electronically to the primary coverage only. Your patient must submit the secondary claim to Beneva manually via the Client Center or by mail.
Can claims for the same service be submitted twice in the same day (e.g. for the same service on two different body parts, or for the same service provided in the morning and in the evening of the same day)?
No, the claim must be submitted to Beneva manually.
What expense types can be submitted electronically, and which specialized healthcare provider roles does the system support?
At this time, the following healthcare professional roles can submit claims electronically:
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Acupuncturists
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Chiropodists
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Chiropractors
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Counsellors
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Dietitians
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Massage therapists
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Naturopathic doctors
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Occupational therapists
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Opticians
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Optometrists
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Osteopaths
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Physiotherapy technologists
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Physiotherapists
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Podiatrists
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Psychologists
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Psychotherapists
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Social workers
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Speech-language pathologists
Does Beneva provide real-time adjudication?
Yes, Beneva provides real-time adjudication.