MyClaims Manager 产品说明书

Using the Claims Detail Page
This flyer explains the available details when viewing each of your claims.
1This section provides high-level information for the claim you have selected.
2The “Explanation of Benefits” link provides
a detailed explanation of how a claim was
processed based on your health care benefits.
3The “Manage Claim” section provides features to help you track and manage your claim. You
can identify claims to watch or follow-up on,
mark claims already paid and add personalized
notes.
4The “At a Glance” section provides visual information to help you understand how the
claim was processed, how much your plan paid
and how much you owe. By selecting the link,
“View Account Balances,” you can easily view the status of your deductible, out-of-pocket
information and financial accounts (if applicable). 5Use this color key as a guide to the information displayed in the pie chart.
6The “Y our Responsibility” section helps you understand the amount you may owe your
provider, taking into consideration any financial
account deductions (if applicable) as well as
any payments you have made via this website.
Please note this section may vary depending on
your plan type. You will only see “Paid Online” if
payments have been made from this website or the
UnitedHealthcare Health4Me TM mobile app.
7The “Make Payment” button allows subscribers to pay their health care provider online for any
claim that has an out-of-pocket responsibility.
You will be redirected to a website hosted by
InstaMed® to enter your payment information
securely and confidentially. This feature is not
available for all plans.
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The “Detailed Costs” table provides additional information about the claim, identifying health care services received along with information to help you understand how the claim was processed, such as amount billed and plan discounts. 9
Click the question marks ?
to view additional
helpful information.
10 The “Show More Detail” link will display
a longer description of the health care service along with claim processing notes. Clicking again collapses it back to the short description.11 This section shows payments made to either
a health care provider or to you by your plan. Subscribers can also choose to make payments to their health care providers here using the “Make Payment” button. Please note this section may vary depending on your plan type. You will only
see “Paid Online” if payments have been made from this website or the Health4Me mobile app.
12 The “Claim History” section shows the dates
and status of activities related to processing your claim.
13 The “Claim Notes” section shows additional
information to explain how your claim was processed.
14 The “Paid Online” section will show
information about payments you have made through this website or the UnitedHealthcare Health4Me mobile app. Click on the “Details” link to view the details of the payment you made. This will redirect you to the InstaMed payment site where your information is securely and confidentially maintained. You will only see the “Paid Online” information if payments have been made from this website or the Health4Me mobile app.
Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates. Administrative services provided by United HealthCare
Services, Inc. or their affiliates. 4/13 © 2013 United HealthCare Services, Inc. All trademarks are the property of their respective owners.
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Claims Detail overview continued。