Submit claims in the web app

Web App

Discover how the Ellement Online Claims web app allows you to submit and check your claim status on your computer.

 Image showing benefit card.
Step 3 - services menu
Step 4 - selecting a patient
  1. Select a service provider from your recent health providers listed below the search bar, or enter the following service provider's details:
    a. name,
    b. address,
    c. phone number,
    d. and license or registration number.
  2. On the next page, enter the claim details as they appear on your receipt:
    a. Search for the service code by typing in the Name (Health), Procedure Code (Dental) or DIN (Drug) of the service provided.
    b. Enter the service date and the total cost of the service.
  3. If any other insurance has paid a portion of your claimed amount, check the box for additional coverage and enter the amount paid by the primary plan.
  4. To apply any unpaid balance to your healthcare spending account, activate the Apply Balance to HCSA on the left side of the screen by clicking the toggle button.
Image showing QR code to download the Ellement mobile app.
Image showing QR code to download the Ellement mobile app.
Image showing QR code to download the Ellement mobile app.
Image showing QR code to download the Ellement mobile app.
Image showing QR code to download the Ellement mobile app.
Image showing QR code to download the Ellement mobile app.
Image showing QR code to download the Ellement mobile app.
Scan this code to download the Ellement mobile app
Image showing QR code to download the Ellement mobile app.
Image showing QR code to download the Ellement mobile app.
Image showing QR code to download the Ellement mobile app.
Image showing QR code to download the Ellement mobile app.
Image showing QR code to download the Ellement mobile app.
Image showing QR code to download the Ellement mobile app.
Image showing mobile app download screen.
Image showing mobile app download screen.
Image showing mobile app download screen.
Image showing mobile app download screen.
Image showing mobile app download screen.
Image showing mobile app download screen.
Image showing mobile app download screen.
Image showing mobile app download screen.
Image showing mobile app download screen.
Image showing mobile app download screen.
Image showing mobile app download screen.
Image showing mobile app download screen.
Image showing mobile app download screen.
Step 5 - selecting a service provider
Step 6 - claim details
Step 1 - add another service
Step 2 - additional services

Finalize submitting your claim(s)

  1. After entering your claim details, select Next to add receipts and supporting documents to your claim. If a Primary Plan has paid any amount, add the additional coverage statement to your submission.
  2. Once you have attached your documents, select next and review your submission. Make sure that all information is correct. To make any adjustments, select the Cancel button.
  3. Click Submit at the bottom of the screen to submit your claim for processing.
  4. Review the acknowledgments and check I agree.
Step 1 - add supporting documents
Step 2 - reviewing your submission

Reviewing Claim Status

  1. Once your claim is submitted, you can check your claim status on your dashboard under Recent Claims or History.

Read Filtering Claim History (on the web and mobile app) to learn more about viewing and filtering your submitted claims.

Step 1 - dashboard
Claim history

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