Claims

Contact and Hours

Phone: 

203-432-0250

Fax: 

203-432-8254

Hours: 

Monday-Friday 8:00 am – 5:00 pm

Appointment Information

Walk in to talk with a representative or email them at yhclaims@yale.edu.

About

The Claims Department can answer questions regarding claims processing and Yale Health benefits.

Medical Claims

If you pay out-of-pocket for medical services or equipment (such as chiropractic services, home health services, durable medical equipment, or other services rendered outside of the Yale Health Center) you should submit a Supplemental Claim Form for reimbursement. Complete a separate claim form 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
  • Diagnosis
  • Charge for service
  • Procedure code

Submit your Supplemental Claim Forms to the Business Office at 55 Lock Street on the 3rd floor or mail to:

Yale Health
Claims Department
P.O. Box 208217
New Haven, CT 06520-8217

Prescription Drug Claims

Submit a Pharmacy Claim Form for prescriptions purchased at an outside pharmacy.

Include copies of prescription receipts showing the following information:

  •  Pharmacy Name, Address & Phone Number  
  •  Patient Name  
  •  Prescription Number 
  •  Prescription Fill Date 
  •  Drug Name, Strength and NDC Code
  •  Drug Quantity & Days supply  
  •  Drug Cost  
  •  Amount Paid  

Please mail the Prescription Drug Claim Form and receipts to:

OptumRx
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 confirm that the claim has been received and is in process.

Our Staff

Manager

  • Ann Marie Morant