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Our stop loss contracts are reimbursement contracts. However, as a
service to our clients we will provide advance funding, free of
charge, whenever an unexpected, large claim must be paid. In order
to receive advance funding on a stop loss claim, the TPA must:
·
Make the request for advance funding by completing the attached
form. Small filings of less than $5,000.00 will not be honored.
·
Complete the Reimbursement Request form and submit the stop loss
claim filing with all supporting documentation required for a fully
funded claim.
Employer
funding up to the Specific Deductible within the stop loss contract
period is required.
Proof of funding, check copies or a check register must be provided
after advance funding is received and applied. No further advances
will be allowed until proof of funding for previous advances has
been received.
No
advance funding requests will be honored if the filing is not
received within 15 days following the terminal payment date of the
stop loss contract.
Alliance Underwriters is not responsible for lost discounts,
interest or penalties assessed by a provider for failure to pay
first-dollar claims within a specified period of time. |
