FILE A CLAIM
How do I file a claim?
Depending on the coverage your employer has enrolled in, the contact information to file your claim, as well as your personal member information, is printed on the back of your membership card.
Why doesn’t Blackhawk pay my claim?
As a third-party administrator (TPA), we help your company manage benefits, but your insurance provider will file your claim. We are happy to answer questions you may have about your claim or the claims process. Just call us at 866-910-6166 or email at outreach@blackhawktpa.com.
What is a claim?
A claim is an invoice or a bill that is sent to your insurance company from your doctor, dentist, or wherever you received care. The claim is then reviewed, and the insurance company assigns a code based on the care or services you received. While these codes seem confusing, they help your claim move through the system more smoothly. The insurance company can compare these codes to the insurance you have to see what they are committed to pay. If you received care that is not covered by your insurance or if you have a copay, then the insurance company will let the doctor or service provider know, and you will owe them.
What is an EOB?
An explanation of benefits (EOB) is a letter from your insurer explaining a bill you will receive from your care provider. It is not a bill; it just explains a future bill you will receive so you understand what was covered and why you may owe a portion of the bill.
