CLAIMS FAQ

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Q. Can I access my claim status online?

A. At this time, we do not offer this feature to individual employees. Your employer can check your claims status on your behalf, or you may contact Grace Health Customer Care directly at customerservice@gracewellness.com or by calling 800-000-0000

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Q. Whom should I contact to check the status of my claim?
A. Our Customer Care team is happy to check your claim status for you. Call at your convenience, Monday through Friday, 8:00 a.m. to 5:00 p.m. CST at 800-000-0000, or email customerservice@gracewellness.com. We’re standing by, ready to help!

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Q. Is someone assigned to my claim?

A. Yes. All claims are reviewed for completeness and assigned to a dedicated claims examiner. Your claims professional will manage your claim from start to finish, coordinating efforts to resolve your claim quickly and efficiently.

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Q. How do I file a claim?

A. Email your claim to customerservice@gracewellness.com. Claim forms can be found on our website gracehealthwellness.com. Choose the Individual tab, select Forms and Brochures, search for your State, and enter the keyword Forms or Claim. Remember that you will also need an Authorization for Release of Medical Records form attached to your claim.

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Q. What is the average processing time for claims?

A. A decision to pay, pend*, or deny a claim is reached on 95% of all claims within five business days of receipt.

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Q. What causes delays in the claims process?

A. If the claims examiner needs more information from you (the employee), your employer, or another resource, it may delay the claim. In addition, if we have to request medical records, the processing of your claim may be delayed for several weeks or months.

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