The Claims Department can answer questions regarding claims processing and Yale Health benefits. You do not need an appointment to come in and talk with a representative and you can also email them at email@example.com.
If you pay out-of-pocket for medical sevices or equipment (such as chiropractic services, home health services, durable medical equipment, or other services rendered outside of the Yale Health Center) you need to a submit a Supplemental Claim Form for reimbursement. A separate claim form is needed for each family member.
Claims for medical services should be accompanied by itemized bills (charge card receipts and balance due statements are not acceptable).
Itemized bills must include:
- Patient name
- Type of service
- Date of service
- Charge for service
- Procedure code
Supplemental Claim Forms can be submitted to the Business Office at 55 Lock Street on the 3rd floor or mailed:
P.O. Box 208217
New Haven, CT 06520-8217
Prescription Drug Claims
For prescriptions purchased at an outside pharmacy, you must submit a Pharmacy Claim Form.
Include copies of prescription receipts showing the following information:
Pharmacy Name, Address & Phone Number
Prescription Fill Date
Drug Name, Strength and NDC Code
Drug Quantity & Days supply
Please mail the Prescription Drug Claim Form and receipts to:
P.O. Box 968022
Schaumburg, IL 60196-8022
Claims are honored for one year from the date of service. If you haven't received a response to a claim within 60 days of filing, contact the Claims Department. You may call sooner to inquire if the claim has been received and is in process.