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Claim Submission Guidelines

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Health and Dental Claims

How to Submit Claims...

RWAM Plan Member Services Website

Claims can be submitted online by signing in to the Plan Member Services website.

Register for Plan Member Services and provide your direct deposit banking information and email address.
Submit your claim by answering a few simple questions and attaching an electronic copy of your receipt.
Payment will be deposited directly into your bank account and you will receive a Claim Statement / Explanation of Benefits (EOB) via email.

RWAM Mobile App

You can enjoy the on-the-go convenience of the RWAM Mobile App, once you have registered for Plan Member Services.

Submitting a claim with the RWAM Mobile App is as simple as taking a picture of your receipt and answering a few questions.

Download the RWAM Mobile App from your Device's App Store

Paper Form

Submitting a claim using the traditional paper form still works.

Claim forms are available on our Forms page.
Complete the appropriate claim form, attach your original receipts and mail them to RWAM (retain a copy for your records).
To avoid unnecessary delays, complete the Direct Deposit form and your claims payment will be deposited directly to your bank account.

Provider Direct Submission

Once you have registered for Plan Member Services, you can ask your Healthcare Provider to submit your claims to RWAM for immediate adjudication and information regarding the eligibility of your claim. Eligible reimbursement may be made directly to your bank account or payment can be made to your Provider.

For more information on Provider submission of claims visit our Provider eServices page and Provider FAQs page.

Are you covered by more than one benefit plan?

Coordinate between multiple plans to maximize your coverage. Review the Coordination of Benefits page and receive up to 100% coverage for eligible expenses.

All Other Claims

Claim Type	How to Submit Claims
Travel Assist	For Out-of-Province / Out-of-Canada (OOC) Claims complete the Travel Assist Out-of-Canada / Out-of-Province Claim Form.
Critical Illness	Contact your Plan Administrator or Contact Us for Critical Illness claims assistance.
Disability	Appropriate claim forms based on your group's coverage are available from your Plan Administrator or Contact Us.
Life Insurance or Accidental Death & Dismemberment	Contact Us and ask for Life claims assistance.

Have questions about submitting your Claim?

Read the fact sheet "Extended Health Care Benefits - What's covered?" to learn how to determine whether your Group Health Benefits Plan includes coverage for a particular provider.
Review the "Understanding Your Group Insurance Benefits" fact sheet to learn how certain rules, limits, and maximums which govern how much of your claim is eligible for reimbursement are applied to each and every claim.
Check out the Claims FAQs for Plan Members for answers to common claim questions.
Need more information? Please Contact Us.

Patient Choice Cards

In cases where your group plan doesn't cover the full cost, Patient Choice Cards may allow you to access your preferred brand name medications with a minimum of out-of-pocket expense .

Registration is FREE, and you can register for multiple programs in order to access the brand name product(s) you wish to receive. To learn more about either program and to view a current list of the medications covered by each, please visit the www.RxHelpONE.com and www.innovicares.ca websites.

Note the content of these programs may change, and coverage for specific brands can be discontinued at any time. RWAM provides this information on the free RxHelp ONE^TMand innoviCares patient choice card programs as an option for Plan Members. This is not an endorsement.

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