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Submit a Medical Bill

Introduction

A medical bill includes itemized information like diagnostic and procedural codes explaining what care you or someone in your family received. In addition, a medical bill must include a Tax ID number because that is a required part of processing your bill for sharing.

The healthcare industry often uses multiple terms interchangeably to describe a medical bill such as (not a comprehensive list):

  • Superbill
  • Itemized statement
  • Patient ledger
  • Account history

Regardless of the term, REDEEM™ HealthShare requires itemized details (described below) when you submit a bill. A medical bill differs from a common receipt. For consistency, this article uses the term, medical bill.

The information in this article is for submitting a medical bill only. See these other articles for:

Submission Options

The preferred method for bill submission is for you to present your member ID card to your provider at the time of service. Your provider can submit your bill electronically. He or she has up to 12 months to submit bills for processing from the date of service. Submitting a bill does not guarantee eligibility for sharing.

REDEEM HealthShare understands that 1) not all providers use an electronic system, 2) technical difficulties may arise when making the submission, or 3) you may have paid your medical bill directly to your provider. In those situations, you need to upload the medical bill and submit it through the Member Center.

Procedure 

For times when you need to upload your bills through the Member Center, follow these steps:

  1. Log in to the Member Center. 
  2.  In the Member Center navigation menu, click My Medical Bills.
  3. Click Submit Bills. The Submit a Bill screen displays.
  4. Select Medical Bill.

  5. Complete these additional required questions:

    • 2. Member that Incurred Expenses
    • 3. Has the bill been paid in full or partially paid?
    • 4. For your reference, give this bill a nick name.

  6. Click Next. The Submit a Medical Bill screen displays.Submit a Medical Bill with fillable fields and a list of itemized details REDEEM HealthShare requires.

  7. Type your Additional Information into the required fields.
  8. In the Additional Comments field, type the reason you went to the doctor and if applicable, the reason for testing.
    Note: While optional, providing this detail upfront might reduce bill processing time.
  9. Upload the appropriate documents, which must include the following information:
    • Name of member/patient
    • Diagnosis/ICD 10 Codes
    • Provider’s TAX ID
    • Provider’s NPI
    • Provider’s Billing Address
    • Facility Service/Physical Address
    • Date of Service
    • Charged Amount(s)
    • (if applicable) Patient Payment Receipts
    • (if applicable) Explanation of Benefits
    • (if applicable) Any Provider Discounts Received
  10. Once you upload your bill successfully, select I acknowledge, copy of receipt showing payment has been included in uploaded documents.

  11. Click Submit. A confirmation banner will appear in the upper right.