How to Use Your Member Portal & Mobile App to Manage Claims

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1 How to Use Your Member Portal & Mobile App to Manage Claims Member Portal & App Your Member Portal gives you 24/7 access to view information and manage your Ultimate Health claims. With the secure Member Portal, you can: w File claims online* w Upload documentation w View claim status and notifications w Refer to reimbursement history w See balance of benefit limits (by category) w Set up direct deposit for faster reimbursements *Portal login is for the primary member only. Dependents do not receive their own login, but dependent claims can be filed using the primary member s portal login. How Do I Navigate the Home Page? How Do I Log On? w Go to w Enter your login ID, which is 1st Letter of Your First Name and Last 5 Digits of Your Social Security Number w Enter your password, which is initially set as the word password (all lowercase) w Click Login EXAMPLE Name: John Smith SSN: Username: j56789 Password: password The Home Page is easy to navigate: 1. The I Want To section at the left enables you to quickly click on File a Claim 2. Available Balance links to the Account Summary page, where you can see and manage your accounts/benefit category limits. 3. The Message Center section displays alerts and relevant links that enable you to keep current.

2 How Do I File a Claim and Upload Documentation? w Enter your claim information in the form fields. w Click Add Claim. The claim is then added to the Claims Basket. w If you are submitting more than one claim, click Add Another Claim, select the Account or benefit category and complete the form and click Add Claim. w When all claims are entered in the Claims Basket, click Submit to send the claims for processing. w The Claim Confirmation will display. You may print the Claim Confirmation as a record of your submission. w On the Home Page, you may simply select the I want to File a Claim button. w If you are submitting a claim from the prior year, you will need to do this by navigating to the File A Claim page. Once there, you can select the appropriate benefit category for the prior plan year in the Pay From dropdown. Select the type of claim you are submitting and follow the same steps for filing with the current plan year. w Please be sure to file one claim for each date of service and each claimant. Do not file multiple reimbursement requests in a single claim or there will be a delay in processing your claim. w Select the appropriate Account/Benefit Category from the Pay From dropdown menu. Next, select the Me option from the Pay To menu. Click Next to proceed to the next step in the claim submission process. w Next, click on Upload Valid Documentation and follow the onscreen prompts to upload a receipt, Explanation of Benefits from your primary insurance, or other required documentation. Select Next to proceed to the next step of the filing process. (Note: Your documentation must be JPG,GIF, PNG, or PDF and cannot exceed 2MB). How Do I Get Tips on How to File Claims? w Click the Tools & Support tab. w Under Quick Links select:» How to File Claims» How to File Doctor Co-Pay Claims» How to File Executive Physical Claims» How to File Vision, Dental and Orthodontia Claims

3 How Do I Set Up Direct Deposit? How Do I See the Status of Claims? w Under the Dashboard tab you will see the status of claims in the far right column. The red $ notes unpaid claims (either ineligible or pending). The yellow $ notates partially paid claims. The green $ notates paid claims. How Do I See What is Covered in Each Benefit Category The fastest way to get reimbursements is to sign up online for direct deposit to your personal checking or savings account. w Under the Profile tab, click Banking on the left hand side and then select Add Bank Account. w The Banking/Add Update Bank Account page displays. w Enter your bank account information and click Submit. w The Payment Method Changed confirmation displays. How Do I See Notifications? w On the Home Page, you can click on the Message Center in the middle of the page to see notifications that are waiting for you to take action. w By clicking on the links below the Message Center, you can View Denials, Upload Documentation or View Confirmations. w Under the Tools & Support tab you will see a section called Plan Summaries, which will explain what is covered. How Do I View My Claims History? Under the Accounts tab you will see a section called Claims. w Click on each claim to view more details. w On the left hand side, select the specific Account or Claim Status to filter the view. How Do I View My Reimbursement History? Under the Accounts tab you will see a section called Payments. w Click on each payment to view more detail. w On the left hand side, select the specific Method or Status to filter the view.

4 How Do I Change My Username and Password? w On the Home Page, under the Profile tab, click Change Login Information on the drop-down. w Follow instructions on the screen. (For a new account, the first time you log in, you will be prompted to change the password that was assigned by your plan administrator. Follow the instructions.) w Click Save. How Do I Use the Mobile App? w Download the app by searching for ArmadaCare in your mobile device s app store. w You must log in to the Member Portal at least once before logging into the Mobile App for the first time. w Use your same user name and password to log in to the Mobile App. Next, it will ask you to assign a passcode, which you ll use to sign in after that unless you change your Member Portal password. Then you will need to sign in using your Member Portal username and password. Then you will complete the following information: w Date of Service: Date you received care w Amount: Amount of reimbursement you are requesting w Provider: Name of doctor/licensed provider w Category & Type: Click from the menu listed w Description: Add a description about the service you received. w Recipient: Click on Recipient and a window appears that shows the primary member name and any dependents we have on file. Click the name of the claimant for this claim. w Receipts: Click on Upload Receipt to take a picture of the support documentation or upload an existing image from your camera roll. You may upload multiple images per claim. w Click Add claim in the top right corner. w You can repeat the process to add another claim. You can use the Mobile App to file claims for the primary member or any dependents, as you do with the Member Portal. Please be sure to file one claim for each date of service and each claimant. Do not file multiple reimbursement requests in a single claim or there will be a delay in processing your claim. To file a claim, click on File a Claim. A pop-up window appears, where you will select type of claim (such as Dental).

5 How Do I Change My Password Using the Mobile App? w Log on to the ArmadaCare app using your four digit passcode. Note: If you are unable to log on to the app you will need to log on using your computer to update your information. w Select the Me icon at the bottom of screen. w Next, select Login Information, and then select Change Username/Password. Helpful Hint w Did you know you can upload a picture from your camera roll instead of having to take a picture at the time of filing your claim? Just take a pictureof your EOB or invoice whenever it is convenient for you (at the doctor/dentist office or the pharmacy) and discard the hard copy. Then file the claim when you reach your home or office. w You can change your username and/or password from this screen. w Next, select Login Information, and then select Change Username/Password. w You can change your username and/or password from this screen E 08/16

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