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Mail prescription drug claims to: HATH Worldwide Insurance Services P.O. Box 968 Hershey, PA 19044 1.888.350.2002 PRESCRIPTION DRUG CLAIM FORM INSTRUCTIONS: 1. Provide the PATIENT/INSURED and PRESCRIPTION
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How to fill out mail prescription drug claims

How to fill out mail prescription drug claims:
01
Gather all necessary information: Before filling out a mail prescription drug claim, make sure you have all the required information at hand. This includes your personal details, the prescription details (such as the drug name, dosage, and quantity), and your insurance information.
02
Obtain the claim form: Contact your insurance provider or pharmacy to obtain the mail prescription drug claim form. It may be available as a physical paper form or as an online form that you can fill out electronically.
03
Enter personal details: Begin by filling out your personal information accurately and completely. This typically includes your full name, address, contact number, date of birth, and insurance policy number.
04
Provide prescription details: Fill in the necessary information related to your prescription. This usually includes the drug name, dosage, and the quantity prescribed by your healthcare provider. Make sure to provide any additional information required by the form, such as the prescribing doctor's name and contact details.
05
Include insurance details: Enter your insurance information precisely as it appears on your insurance card. This includes your insurance provider's name, group or policy number, and any other required details. If you have multiple insurance plans, indicate the primary insurance provider first.
06
Attach supporting documentation: Read the instructions on the claim form carefully to determine if any additional documentation is required. This may include attaching a copy of the prescription, the pharmacy receipt, or any other relevant documents to substantiate your claim. Ensure that you make copies of all documents for your records before sending them.
07
Review and double-check: Once you have filled out the mail prescription drug claim form, review it thoroughly for any errors or omissions. Double-check all the information provided to ensure accuracy. Mistakes or missing information could delay the processing of your claim.
08
Submit the form: After reviewing the form, follow the instructions provided to submit the mail prescription drug claim. This could involve mailing the physical form to the designated address, submitting it electronically through the insurer's website, or following any other specified submission method.
Who needs mail prescription drug claims:
01
Individuals utilizing mail-order pharmacies: Mail prescription drug claims are necessary for individuals who choose to use mail-order pharmacies to receive their prescription medications conveniently through the mail.
02
Patients with chronic conditions: People with chronic health conditions that require ongoing medication often find mail-order pharmacy services beneficial. It allows them to receive a 90-day supply of their medications, ensuring they have an adequate stock on hand and reducing the frequency of pharmacy visits.
03
Insurance policyholders with applicable coverage: Individuals who have prescription drug coverage through their health insurance plans may be eligible to submit mail prescription drug claims. It is advisable to check the specific coverage details and requirements of your insurance policy to confirm eligibility for mail order prescriptions.
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What is mail prescription drug claims?
Mail prescription drug claims are claims filed by mail for reimbursement of prescription drugs.
Who is required to file mail prescription drug claims?
Healthcare providers or pharmacies who dispense prescription drugs via mail are required to file mail prescription drug claims.
How to fill out mail prescription drug claims?
Mail prescription drug claims can be filled out online or by using paper forms provided by the insurance company. The necessary information such as patient details, drug information, and payment details must be included.
What is the purpose of mail prescription drug claims?
The purpose of mail prescription drug claims is to obtain reimbursement for prescription drugs sent through the mail.
What information must be reported on mail prescription drug claims?
Information such as patient name, date of service, drug name, quantity dispensed, NDC number, and payment details must be reported on mail prescription drug claims.
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