Chambers of Commerce Group Insurance Plan
Claims are adjudicated 24 hours a day, 7 days a week, with a short maintenance window at 11:00 p.m. EST.
Acknowledgements are processed in their office and returned to the provider in hard copy form within 2 to 4 business days.
Predetermination requests can be submitted electronically. In most cases, the predetermination will result in an immediate response of eligible amounts. In rare cases, the predetermination will be held for review. In those cases, the completed predetermination will be returned to the provider in hard copy form within 2 to 4 business days.
Yes, payments to the provider are supported. The insured will be notified of any claims processed using their identification numbers.
Provider payments can be made by direct deposit or by printed cheque. If you have signed up for direct deposit through TELUS Health, you will be paid by direct deposit and a notification will be emailed to you. All other provider payments will be made by printed cheque. All payments are processed every working day for claims processed the day before. Claims held for review or audit are typically released for payment within two business days.
Coordination of Benefits with the same provider is not supported at this time.
Yes, you can submit for the same service twice in one day but the second claim will be held for review.
Expenses for the following specialized healthcare providers are supported:
-
Acupuncturists
-
Chiropractors
-
Dietitians
-
Massage therapists
-
Naturopathic doctors
-
Occupational therapists
-
Opticians
-
Optometrists
-
Physiotherapy technologists
-
Physiotherapists
-
Podiatrists
-
Psychologists
-
Psychotherapists
-
Social workers
-
Speech language pathologists