How to File A Claim

In order to file a claim on your expatriate insurance, please follow the steps outlined below or log in to do it through the member portal.

 

File a claim online

Step 1

Complete the appropriate claim form:

Claim forms must contain:

  • Claimant’s name
  • Claimant’s date of birth
  • Complete policy number
  • Correct diagnosis (Note: may be in layman’s terms such as stomach ache, sore throat, broken leg, etc.)

Step 2

Compile all the necessary documentation, including receipts, invoicesInvoices/bills must be originals, etc. We encourage you to keep copies, for your records, of all documents provided with your claim form.

When submitting relevant documents:

  1. Separate receipts and itemized bills if more than one (1) claimant.
  2. Separate completed Claim Form for each claimant with appropriate receipts and itemized bills attached.
  3. If filing a Maternity Claim, ensure a fully completed Maternity Questionnaire is attached.
  4. Doctor’s invoices/bills must include:
    • Medical providers name, address and signature
    • Claimant’s name
    • Doctor’s specialty (obstetrics, pediatrics, neurology, etc.)
    • Detailed description of service rendered (office visit, surgery, etc.)
    • Date(s) of service
    • Diagnosis
    • Charge for service
  5. Pharmacy receipts must include:
    • Claimant’s name
    • Name of prescribing physician
    • Name of prescription
    • Date of prescription
    • Charge for medication
    • Pharmacy name, telephone number, and address
  6. Hospital invoices/bills must include:
    • Claimant’s name
    • Referring/treating physician
    • Date of admission and discharge
    • Diagnosis/reason for hospitalization
    • Itemized hospital bill (Note: tax and patient convenience items such as telephone and television are non-covered items)

Step 3

Once your documents are in order and you have completed the appropriate Claim Form, please send your Claims Package to Lyncpay, LLC.

Claim inquiries or verification of coverage may also be telephoned or faxed to the numbers provided below.

Lyncpay LLC.

1919 Ponce de Leon Blvd.
Coral Gables, FL 33134 USA

Toll Free: +1 (800) 222-3002
Phone: (305) 405-8929
Fax: (305) 567-0574
Email: claims@lyncpay.com

Step 4

Once your Claims Package has been submitted and processed, you will receive an Explanation of Benefits (EOB). The EOB will describe your claims reimbursement including allowable charges, amount applied to your deductible, percentage of reimbursement, and any refused charges.

Useful Tip

It is important that you show your WEA identification card when seeking the services of a provider. To assist the provider in submitting your claim, our address and the Customer Service telephone numbers are printed on the reverse side of your card.