Billings and Claims
- What should I do if I receive a bill from a laboratory that is not part of the Elderplan network?
- What happens if a claim is denied?
What should I do if I receive a bill from a laboratory that is not part of the Elderplan network?
All laboratory services must be furnished by an Elderplan contracting laboratory. If your Primary Care Physician has referred you for lab services and you receive a bill, DO NOT PAY IT.
Send it to:
Elderplan Claims Department
P.O. Box 73111
Newnan, GA 30271-3111
If you continue to receive bills or other letters regarding the laboratory service, please contact Member Services immediately.
What happens if a claim is denied?
If you have a claim denied, you may ask Elderplan to reconsider its decision. This is called an “appeal” or “request for reconsideration.”
If you need help in filing your appeal, please call Member Services. When we receive your request for an appeal, we will distribute it to different people other than those who made the decision to deny your claim. This helps ensure your request gets fair reconsideration.
