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MEMBER REIMBURSEMENT DRUG CLAIM FORM Complete this form, attach prescription labels and mail to: Catamaran P.O. Box 968022 Schaumburg, IL 60196-8022 Cardholder Information Cardholder s ID Number:

How to fill out member reimbursement drug claim

How to fill out member reimbursement drug claim:

1. Start by gathering all the necessary information, including the name of the medication, the date of purchase, the cost, and any relevant prescription details.
2. Double-check your insurance policy to understand the specific requirements for submitting a reimbursement claim. This may include deadlines, forms, or any additional documentation that needs to be included.
3. Fill out the reimbursement claim form provided by your insurance provider. Make sure to provide accurate and complete information to avoid any delays or issues with the claim.
4. Attach any supporting documents required by your insurance provider. This may include the original pharmacy receipt, a copy of the doctor's prescription, or any other relevant paperwork.
5. Review the completed form and supporting documents to ensure everything is in order. Double-check for any errors or missing information.
6. Submit the reimbursement claim either electronically through your insurance provider's online portal or by mail. Follow any specific instructions provided by your insurance provider to ensure your claim is received and processed correctly.

Who needs member reimbursement drug claim:

1. Individuals who have purchased prescription medications out of pocket and are eligible for reimbursement from their insurance provider.
2. People with health insurance coverage that includes medication benefits and offers reimbursement for prescription drug expenses.
3. Patients who have paid for prescription medications but need to submit a claim to their insurance provider to receive reimbursement for the costs incurred.

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