Claims Process
Filing Claims
A. Complete a claim form (including the appropriate signatures) for filing benefits.
Each bill submitted must have the following information:
- employee/member name & social security number,
- patient name,
- Employer/Group name & number,
- provider's signature,
- diagnosis code(s)
- procedure code(s)
- provider's name, address, telephone number and tax ID number
B. Submit the form with a copy of an itemized bill to the address shown for processing. The diagnosis and procedure codes must be included in the bill.
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Payment of Claims
After receiving written proof of loss, all benefits will be paid to the employee, if living, or, in the event of the employee’s death, to the employee’s estate. It is not required that the service be rendered by a particular hospital or provider.
Payment will be made by Pioneer Management Systems on behalf of Markel Insurance Company.
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Claim Form
Click the link below to obtain a claim form in Adobe Acrobat format.