Claims Payment

groupSource has been adjudicating health and dental claims on behalf of partner underwriters since 1989.

Claims adjudication is the application of group policy guidelines and provisions to pay claims. It involves personal medical information which requires privacy and confidentiality protection.

This is achieved through:

Our claims adjudicators

We maintain dedicated staff who process claims and answer inquiries about specific claims issues in a timely manner, as well as research discrepancies and contact providers to obtain missing information.

Adjudication to the highest standards

Our claims adjudication is done without prejudice, and verified by regular internal and external audits to ensure quality and consistency.

Our claims services ensure:

Turnaround of 2 working days

Enjoy a standard claim turnaround time of 2 working days upon receipt of claim, or even less using our online services and direct deposit of payment.

Explanation of benefits

All claims payment come with an Explanation of Benefits indicating eligible and ineligible items.

Security

We are bound by strict rules governing the security and confidentiality of personal health information. We take your privacy very seriously.

Thorough processes

We conform to Customs and Revenue Agency guidelines to protect the tax-exempt status of benefits paid from private health plans.

 

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News and Events

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    2014 January - Calgary-based groupSource LP announces new ownership.
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    2012 February - groupSource is proud to support Bosco Homes' fundraising events, for the benefit...
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Legislation Updates