theclaimsXchange makes submitting claims convenient for plan members

theclaimsXchange® makes submitting claims convenient for plan members

Remind plan members that they can save time by having their health and vision care providers submit claims directly to us on their behalf.

We’ve partnered with NexgenRx to offer theclaimsXchange® submission portal for providers. This secure, online claims process reduces the need for paper or e-claim submissions and may help lower out-of-pocket expenses at the point-of-sale for plan members.

What health care providers are eligible?

The following health care providers can submit claims using theclaimsXchange®:

  • Acupuncturists
  • Chiropractors
  • Chiropodists
  • Massage therapists
  • Naturopaths
  • Osteopaths
  • Physiotherapists
  • Podiatrists
  • Psychologists
  • Social workers
  • Speech therapist
  • Vision Care service providers

If the plan requires a referral from a doctor for a particular service, plan members must bring the referral to the provider so they can include that information at the time of the claim. Plan members will also need to provide their group and certificate numbers, which they can find on their pay-direct drug cards or obtain from their plan administrator.

Health or Vision Care providers can accept assignment of benefits or request full payment for the services provided. If they accept assignment of benefits, after authorizing the assignment, plan members only pay their portion of the claim when the service is provided. Plan members should always keep copies of their receipts.

What if a provider is not enrolled in theclaimsXchange®?

Health or Vision Care providers can register at The site will walk them through a quick registration process so they can submit claims on behalf of plan members. Plan members can also provide them with this information sheet.