Claims

It depends on what you’re asking for.

If you want Nonstop to pay a medical provider directly on your behalf:

>>Explanation of Benefits (EOB) or Remittance Advice Report

>>All pages of the provider bill (showing the account number and where payment should be sent)

>>Completed Nonstop claim form

If you want to be reimbursed for payment(s) you made to a medical provider or for a medical service:

>>EOB or Remittance Advice Report

>>Proof of payment

>>Completed Nonstop claim form

If you want to be reimbursed for payment for a prescription:

>>Detailed pharmacy bag receipt or pharmacy printout (showing your name, the medication name, and whether it was processed through/covered by your health insurance carrier)

>>Proof of payment (e.g. cash register receipt)

>>Completed Nonstop claim form

Note: If you submit online, you don’t need to submit a claim form, too. A claim form is built into the online submission process.

How to track a claim or reimbursement

If the claim was submitted via NSE, it will appear on your NSE dashboard immediately as a pending claim.
When you submit a claim via email, you receive an immediate email confirmation with the claim number. That claim will appear on your NSE dashboard shortly thereafter as a pending claim.
If the claim was submitted via fax or USPS, it takes several days for your info to be uploaded manually into our system. When that’s done, the claim will appear on your NSE dashboard as a pending claim.

Reimbursement check processing time

If the check was to reimburse you and the check has not been received after 30 days, contact us. If payment is being sent directly to the provider, allow 30 days for the provider to receive the payment (60 days for Kaiser Permanente). In the rare instance that a payment or reimbursement check is lost, Nonstop will re-issue a check after we receive confirmation from the service provider that they have not received payment.