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Help Center FAQs

How do I submit a claim?

Choose the type of claim you'd like to submit.

  • When you submit out-of-network medical and behavioral claims using the Horizon Blue app, you do not need to submit a claim form. Simply sign in to the Horizon Blue app and tap Claims, then Submit a Claim.

    When you submit out-of-network claims by mail, please include the appropriate claim form below and mail it, and the required information listed on the form, to the address on the form:

    1. Under Doctors & Care, click Prescriptions.
    2. If you see Go to Prime Therapeutics: Mail the Prescription Drug/COVID-19 At Home Test Kit Claim Form, and the required information listed on the form, to the address on the form. If you do NOT see Go to Prime Therapeutics: Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can find information about submitting prescription claims.

  • Complete the Claim Form - Dental and mail it, and the required information listed on the form, to the address on the form. You can submit out-of-network dental claims by mail only.

    1. Click Vision under Doctors & Care.
    2. Follow the instructions on screen to be redirected to the appropriate vendor’s website, where you can locate information about submitting vision claims.

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Last updated:

Dec 20,2022

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