You may have received a bill from the provider because you are responsible for paying a cost-share amount for the care you received, such as a deductible, copayment, or coinsurance.
Before you pay a provider’s bill, we encourage you to compare it to your claims summary on mytuftshealthplan.com to confirm how much you owe. Simply select Claims in the menu after you’ve logged in.
The claims summary shows details for each of your claims, including:
- the date of service
- the provider and provider specialty
- the amount billed
- the amount you may be responsible for*
Select the Details link next to a claim to view the claim status and a breakdown of services and payment details for that claim.
If the amount you owe on the provider’s bill differs from that of your claims summary, call member services at the phone number on your ID card. A representative can help determine the correct amount, if any, that you should pay—and can contact the provider if necessary.
*Note: If you received any non-covered services, you may also be responsible for the cost of those.