To ensure you haven’ t been the victim of benefits fraud, there are things you can do:
• Keep your benefits ID cards and plan member website login information in a safe place.
• Use the ARTA Benefit Plans for their intended purpose: coverage for eligible expenses incurred for the medically necessary treatment of illness or injury.
• Do not sign blank claims forms.
• Report providers who ask you to pre-sign claim forms to ARTA.
• Make sure your provider or practitioner is licensed with their appropriate regulatory board.
• Do not be enticed by cash rebates or free products.
• Question and stay informed about treatments, products, or services being provided to you.
• Never submit a claim prior to receiving the medical treatment, product, or service.
• Notify and reimburse the plan if you return previously claimed items for a refund.
• Review the Explanation of Benefits form that accompanies your claims summary and report any concerns or billing discrepancies to ARTA.
If you suspect a service provider is acting fraudulently, submit a tip to administration @ claimwatch. ca or 1.800.265.5615 ext. 6921. More information about benefits fraud can also be found online at fraudisfraud. ca.
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