Your Claims, Made Simple

Answer: A claim is a request for payment that your healthcare provider sends to your health plan after you receive medical services. It shows what services were provided and what is being billed.

Answer: A copay is a fixed dollar amount you pay at the time of a medical service—for example, a $20 copay for a doctor visit. It usually does not count toward your deductible.

Answer: Coinsurance is the percentage of costs you pay after meeting your deductible. For example, if your coinsurance is 20%, you pay 20% of the covered cost and your plan pays 80%.

Answer: Your deductible is the amount you pay out-of-pocket for covered services before your health plan begins sharing costs.

Answer: The allowed amount is the maximum cost your plan considers reasonable for a covered service. You are not responsible for charges above this amount when using an in-network provider.

Answer: An EOB is a summary—not a bill—that shows how your claim was processed, what your plan paid, and what you may still owe.

Answer: If you believe there is an error on your claim, you can submit your questions through ExtraHelp in the Redirect Health mobile app or submit a formal claim appeal using our online appeal form. Our team will review the information and follow up with next steps.

Answer: If you believe something on your claim isn’t correct, you can submit an appeal. Please click here to fill out the required form and our team will review it carefully.