Worker Benefits, LLC


	Questions / Comments



	Billing Questions



	Claims Questions



	Coverage Changes



	COBRA Questions



	Get Financial Planning Info



	Supplies Requests

Name:		Phone:
Fax:		E-mail:
Group Name:		Group Number:
Date of Service:		Provider's Name:
Patient's Name:		Patient's ID#:

My claim was denied

Fax a copy of your explanation of benefits or doctor's bill to us for review or call for explanation and advice.

My doctor has received no response from my insurance carrier on a claim that was submitted

Call Member Services to see if the claim was received. If not, ask your doctor to resubmit the claim.

Please get back to me on the following claims issue:

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