Filing a Claim

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Following are instructions for filing claims. Once your claim has been processed, you will receive an Explanation of Benefits (EOB). It will show you the breakdown of charges and payments, if any. If you have a question regarding a specific claim, please call the phone number on your EOB.
When you file a claim, always keep copies of what you submit.

2009 Medical & Mental Health

• Deadline: Must be filed within 12 months from the date of service.
• All 2009 mental health services must be pre-certified through CIGNA at 1-800-244-6224.
• Mail to CIGNA, P.O. Box 182223, Chattanooga, TN, 37422-7223
• CIGNA network doctors will file claims for you.
• CIGNA Medical Claim Form (178 KB)

2010 Medical - TRS-ActiveCare (BCBS)

• Deadline: Must be filed within 12 months from the date of service.
• Mail to Blue Cross Blue Shield of Texas, P.O. Box 660044, Dallas, TX, 75266-0044.
• BCBS Medical Claim Form (96 KB)
• Medco Mail-Order Prescription Form (110 KB)
• Medco Retail Prescription Reimbursement Form (50 KB) - Use this form to be reimbursed for a retail prescription you paid for in full.

2009 Non-Medical Alternate Plan

• Deadline: Must be filed within 12 months from the date of service.
• Mail to CIGNA, Attn: Kim Stovall, P.O. Box 9071, Denison, TX, 75020
• CIGNA Alternate Plan Claim Form (117 KB)

2010 Non-Medical Alternate Plan

• Deadline: Must be filed within 12 months from the date of service.
• Mail to PISD Benefits Department, Attn: Alternate Plan Claims, 6301 Chapel Hill Blvd, Plano, TX, 75093.
• Alternate Plan Claim Form (9 KB)

2009 Dental Plans

• Deadline: Must be filed within 12 months from the date of service.
• CIGNA network dentists will file claims for you.
• Mail to CIGNA Dental, P.O. Box 188037, Chattanooga, TN, 37422-8037
• CIGNA Dental Claim Form (185 KB)

2010 Dental Plans

• Deadline: Must be filed within 12 months from the date of service.
• Delta Dental network dentists will file claims for you.
• Mail to Delta Dental, P.O. Box 1809, Alpharetta, GA, 30023-1809
• Delta Dental Claim Form (47 KB)

2009 Flexible Spending Accounts

• The Deadline has passed: All 2009 flex claims must have been received by CIGNA no later than April 30, 2010.  If your flex account ended before the end of the plan year, you had 90 days to file any remaining claims.

2010 Flexible Spending Accounts

• Deadline: All flex claims must be received by FBA no later than 90 days following the end of the plan year (August 31), or 90 days following the termination of your flex account.
• Claims can be mailed, e-mailed, or faxed as shown on the claim form.
• Flex Account Claim Form (17 KB)
• Form to Request Direct Deposit, Additional Cards, or E-mail Communication (20 KB)
• Flex Card Transaction Substantiation Form (417 KB)
• How to Use Your Flex Card (740 KB)

Vision Service Plan (2009 & 2010)

• VSP in-network optometrists will file claims for you.
• If you use a non-VSP optometrist, use your itemized receipt to complete the Out of Network Reimbursement form at www.vsp.com . Print the completed form and mail to Vision Service Plan, Attn: Out-of-Network Provider Claims, P.O. Box 997105, Sacramento, CA, 95899-7105.
• Deadline: Out-of-network claims must be filed within 6 months from the date of service.

Disability Plan (2009 & 2010)

• UNUM Disability Claim Form (512 KB)