The below guidance is for those circumstances where an "insured" submits a claim for reimbursement:
The Company requires an "Itemized Bill," which shall include the following (claim must be scanned and be readable by the claims department. No pictures will be processed for claims):
• Name of the Provider
• Patient's Name
• Date of Service
• Place of Service
• Codes for procedures (CPT /HCPCS) and diagnosis (ICD) Description of Services rendered (if CPT & HCPCS codes are not available)
• Itemized list of each charge
Policyholders can submit their claims by emailing:
Email: KemperHealthCS@Kemper.com
CC: cgreen@kemper.com, david.woodring@kemperhealthagent.com
Some submissions may require additional documentation such as medical history, pathological reports, operative reports, or accident reports, to consider a claim for available benefits.
If the insured has difficulty obtaining an itemized bill or if the provider has questions concerning what information is needed to process the insured's claim, please have them call our Customer Service line at 800.654.9106.
This list should not be considered "all-inclusive" of the information required to process every type of claim. There will be instances where additional documentation/information may be required to complete processing a claim.