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Frequently Asked Questions

Your TransConnect Claim Information

TransConnect® Online - FAQ: Frequently Asked Questions

Question
Q: How do I file a claim? 
Q: How Do I Get Eligible Reimbursements? 
Q: Are There Specific Facilities for Treatment? 
Q: Any Procedures & Services Not Covered? 

Question: -How Do I file a claim?

Answer: Send it to KBA

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Question: - How does a person get his/her eligible reimbursements?

Answer: Mail or fax the following items to Key Benefit Administrators, Inc, P.O. Box 1449, Fort Mill SC 29716, Fax (866) 433-5152.

1. TransConnect® reimbursement claim form.
2. A copy of the explanation of benefits (EOB) that he/she receives from the medical carrier after they have processed his/her medical claim.
3. The itemized bill/physicians's statement from the provider including diagnostic codes.

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Question: - Are there certain medical facilities to receive treatment from?

Answer: YES - You must receive treatment from a hospital (if an Inpatient), the outpatient facility of a hospital, a free standing surgical center, or a MRI facility. Surgical procedures in a physician's office are not reimbursable. Clinics and urgent care facilities are not covered facilities under the In-Hospital or Out-Patient Hospital benefit.

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Question: - Are there some procedures and services that are not covered under the TransConnect® Plan?

Answer: YES - Mental and nervous conditions, alchohol and non-drug claims, durable medical equipment, chiropractic, prescription drugs, and therapies such as occupational, physical, outpatient chemotherapy and radiation are not covered under this plan, unless administered to you while you are an inpatient in a qualified hospital.

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