There was a problem loading the comments.
  Print

How do I file reimbursement claims?

To file your reimbursement claims, please follow these guidelines:

  1. Download the Avega Reimbursement form from your https://www.benefitsmadebetter.com/ account.

  2. Address your email to [email protected]  and copy [email protected]. Use the following subject line:  
    REIMBURSEMENT | PATIENT COMPLETE NAME | ACCOUNT NAME 
    Example: REIMBURSEMENT | JUAN DELA CRUZ | RUSTAN COFFEE
     
  3. Attach the following supporting documents as an archive file (e.g., ZIP, RAR, etc.).


    For Outpatient Claims:
     
    (signed by employee and HR) 

    1. Accomplished Avega Reimbursement Form

    2. Original Official Receipt (with TIN)
    3. Statement of Account from Hospital
    4. Medical Certificate
    5. Laboratory result (if with diagnostic procedure)

    For Inpatient Claims:  (signed by employee and HR) 

    1. Accomplished Avega Reimbursement Form

    2. Original Official Receipt (with TIN)
    3. Statement of Account from Hospital
    4. Medical Certificate
    5. Operative Report with Histopath Result (if with operation)
    6. Police Report and Medico-Legal Report (if required)

    Note: The above lists are not meant to be the final/complete list of requirements.
    Avega reserves the right to ask for additional requirements on a case-to-case basis.


     

    Document and File Attachment Guidelines

    • Please limit your archive file sizes to below 10MB.
    • Erasures should be countersigned by the authorized signatory.
     
  4. Send the complete details and attachments.

     

 

Submission Guidelines

  • Members must file the reimbursement claims to Avega within 30 calendar days upon discharge or availment. Failure to file your reimbursements within this period will lead to disapproval of claims.
  • Avega’s turnaround time for processing of claims is 25 working days upon receipt of complete documents.
  • As standard process, members are still required to submit the original (hard copy) official receipts for Avega to release the payment or check.
  • You may send your reimbursement follow ups and inquires to your dedicated ActiveLink helpdesk email at [email protected].

 


Related Articles

© Rustan Coffee
 
Powered by

ActiveLink coordinates with your HMO provider on administrative concerns regarding your HMO policy. We help you resolve your HMO concerns from start to end of your HMO policy. By using this service, you are agreeing to ActiveLink's data privacy and consent provisions. Please click this link to find out more.