What info does my receipt need to have on it before I submit it?

The receipt from your health care provider has to have these details on it for you to submit it for a claim:

• which plan member this is for (you, your spouse, or a dependent)

• your plan member ID

• your phone number

• provider signature (or stamp)

For prescription claims, the receipt has to show:

• which plan member this is for (you, your spouse or a dependent)

• your plan member ID

• your phone number

• type of treatment provided and provider name

• dosage