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Boon chapman claims address 2025

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The document is a Health Care Reimbursement Request Form for Boon-Chapman, outlining the instructions for submitting claims for reimbursement under a Section 125 Flex plan. It details the necessary information required from employees, including personal details, health care expenses, and certification of eligibility for reimbursement. The form emphasizes the need for itemized bills and supporting documents like Explanation of Benefits (EOB) from insurance carriers.

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Click ‘Get Form’ to open the boon chapman claims address in the editor.
Begin by filling out Section B: Employee Information. Enter your Social Security number, company name, and new address. Make sure to circle 'Yes' or 'No' for the address change.
Proceed to Section C: Health Care Expenses. Indicate if you have dental, medical, or vision coverage by circling the appropriate options. Provide details about the patient, type of service provided, date of service, and the reimbursement request amount.
In Section D: Certification, read through the conditions carefully. Sign and date the form to certify that all information is accurate and complete.
Finally, review all sections for accuracy before submitting your claim via mail or fax to Boon-Chapman at the provided address.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is Boon-Chapman part of Aetna?

The Boon Chapman Premium plan was created specifically for Jordanos employees. This plan utilizes the Aetna Signature Administrators Network, giving you access to a vast inventory of Network providers.

What is payer ID 47198?

This insurance is also known as: Anthem Blue Cross.

What is the payer ID for Boon-Chapman Insurance?

Payer ID: 74238 Note: Pre-Enrollment is required for Electronic Remittance Advice.

What is the payer ID 41822?

Payer ID 41822 is for the new business platforms for Dean Health Plan and the Medica family of brands.

What is the address for Boon-Chapman Cigna claims?

po box 9201 austin tx 78766.

po box 9201 austin tx 78766

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What is payer ID 41124?

Payer: Meritain Health (formerly Corporate Benefit Services of America) Payer ID: 41124.

What is the phone number for Boon-Chapman claims?

Welcome to Boon-Chapman Member Services! From this website, you can verify eligibility, check claim status, order an ID card, view various documents relating to your plan, submit benefit questions, and much more. For assistance, please call 800-252-9653.