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                  Healthcare Provider Information 
                
                
               
                 For Accident Insurance Plans:  
  
               • Student Assurance Services, Inc. partners with the U.S. Bank Payment Accelerator program
               powered by InstaMed to provide payments and claim information electronically. To learn more or register 
               for this service, please select the link: 
                Payment Accelerator Program 
    
               • We do not guarantee or verify benefits, payments, or student eligibility. Benefits 
               eligibility are determined when the claim is submitted to us. You may review or obtain a copy of 
               the plan benefits from the student or on our website:  
               
               - on the Home page, select "Find My School";  
               - then select the state where the school is located;   
               - then search and select the school name from the  
                 drop-down box;   
               - the school webpage provides the plan summary,   
                 claim form, and policy identification form. 
     
               • Students and school administrators (if the accident occurs at school) must complete a company claim 
               form and send the claim form to us prior to or along with itemized bills. Only one claim form needs to be 
               submitted for each accident. 
   
                • Our accident plans provide coverage on a secondary/excess basis. If the student has other insurance coverage, 
                the student must send the bills to the primary insurance plan first. We will consider benefits after receiving the primary 
                insurance plan's explanation of benefits (EOB). We cannot consider benefits without this information. 
  
                • All bills must include: name of doctor, doctor's complete mailing address; telephone number; federal tax ID number
                and NPI number; dates of service; procedure codes for each treatment or service provided; diagnosis codes; and itemized charges. 
                Balance due statements cannot be processed. We accept CMS1500, UB04 and standard dental insurance bills. 
  
                • Please allow thirty (30) days after submitting your bills before calling us to check on claim status. 
  
                • There is a timely filing deadline of one (1) year and ninety (90) days from the date of service to submit a claim. 
                Note timely filing requirements can vary based on the policy and state. 
  
                • We do not issue student ID cards for accident only plan coverage. If you need an ID number the date of birth may be used. 
 
    
                
                 For Comprehensive Accident and Sickness Insurance Plans: 
      
                Student Assurance Services, Inc. partners with Consolidated Health
                Plans (CHP) to process health claims. To view or verify plan benefits or
                to check claim status contact CHP.  A direct link to CHP's website is provided
                below. 
   
                Consolidated Health Plans  
                2077 Roosevelt Ave, Springfield, MA 01104  
                Phone: (877) 657-5030; Claims Fax (413)733-4612  
                www.studentinsurance.com 
  
                A CHP website link to the college or university is available 
                on our Home webpage under "Find My School". CHP contact
                information is also located on the student's ID card. 
  
                
                 
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                Mailing Address:  
                Student Assurance Services, Inc. 
                P.O. Box 196  
                Stillwater, MN 55082 
  
                
                Customer Service:  
                Toll Free (800) 328-2739  
                Fax (651) 439-0200 
  
                Email to submit a claim:  
                claims@sas-mn.com
 
                  
                
                                           
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