New Med-Pay Claims System Launching Mid-August

Big changes are coming to your health plan! Med-Pay, the administrator of our plan, will launch a new claims processing system in mid-August to enhance efficiency and improve the member experience.

Here’s what you need to know:

⚡ Expect Temporary Delays

• During the first 30–60 days, some claims and EOBs (Explanation of Benefits) may take a little longer than usual.
• Your EOB shows how your claim was processed, what your plan paid, and what you may owe.
  Learn more about health plan terminology on our prior blog: Demystifying Health Plan Terminology.

🧐 Review Your EOBs and Follow Up

• New process for missing information – Instead of “pended” claims, the system will show a soft denial with a note explaining what’s needed.
• Act quickly – If additional details are requested, submit them right away to prevent delays.

• • What you might be asked to provide:
    • Coordination of benefits (if you have other insurance)
    • Accident details (date, cause, or related coverage)

⚠️ This is not an all-inclusive list. In some cases, your provider may be asked to supply additional medical documentation, such as itemized bills or medical records.

🆕 New Look, Same Access

• EOBs will have a fresh, updated layout.
• Your member portal and plan access remain the same for now.

📄 Helpful Resources

• New Claims System – Member FAQ
• Example EOB & “How to Read Your EOB” Guide

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