For the 2023/2024 academic year, Greenville University provides all traditional full-time students with a Student Accident Insurance policy through BMI.
This is secondary coverage, which pays after the student's dental (if applicable, see below for more info), and primary health insurance policy. The student is responsible for their medical bills, including completion and submission of all insurance claims, watching for and forwarding all Explanation of Benefits (EOBs) from their insurance plans, and paying the remainder of the bill after receiving the EOB from BMI.
In regards to claims for a dental injury, the policy will cover accidental injury to sound, natural teeth. The claim must be submitted to both the student's dental insurance and their medical insurance, if available.
In regard to reimbursement for prescription expenses, BMI will need a copy of the itemized prescription bill. Cash register receipts only will not suffice.
- BMI Benefits Accident/Injury Claim Form: With the exception of Part 1A of the attached claim form, the injured student must complete, sign and forward the form to email@example.com. Risk Management will complete section 1A and submit the completed form to BMI. Failure to complete and submit this claim form to the Risk Management Office means that they will not pay anything for your claim. Even if the providers do complete Step 2 below.
- Please contact all medical providers where treatment was received and instruct them that you have secondary insurance. If you give the medical provider the attached BMI Insurance Info Card, they can bill BMI directly after your primary health insurance pays on the claim. If not, you will need to complete item #4 below.
- It is important that you watch your mail (both snail mail and email) for the Explanation of Benefits (EOBs) from your primary insurance carrier and you forward these to BMI. They will match these up with your claim form from #1.
- If you fail to give the providers the BMI Info Card, you will need to obtain and attach copies of your primary carrier’s Explanation of Benefits (EOB) and all itemized medical bills, known as HCFA 1500s (physician billing form) and UB-04s (hospital billing form). The itemized medical bills should show the ICD-10 and CPT codes for the services provided, as well as other necessary information for insurance processing. Balance due statements are NOT itemized bills and cannot be processed and paid by BMI Benefits.
- If you have already paid the medical service provider and wish to be reimbursed directly, please attach a paid receipt or statement that verifies the payment along with the information in #4 above. Claims paid via an HSA or FSA are reimbursable, however, claims paid via an HRA are not reimbursable. Claims can be submitted via mail, fax, or e-mail. You may contact BMI Benefits to discuss your claim. Please be aware that settlement of your claim may take several weeks to process.
- Send all Explanation of Benefits (EOBs) to BMI Benefits, LLC.
Send all bills, EOBs, and paid receipts (if applicable) by:
BMI Benefits, LLC
PO Box 511 Matawan, NJ 07747
Assigned Claims Examiner
Examiner Name: Pat Cicenia
Examiner Email: firstname.lastname@example.org
Examiner Fax: 732.201.8909
Examiner Phone: 800.445.3126 x 56175
NOTE: When BMI processes a submitted claim, an Explanation of Benefits (EOB) will be mailed to the medical provider of service with any check payment. A second copy is also mailed to the address on file for the claimant/student explaining the claim payment details. If any information is missing in order for BMI to process and pay an outstanding claim, an EOB will be mailed stating what needs to be submitted to BMI for reprocessing and payment of the medical claim. All submitted claims are subject to the policy terms, conditions, and benefits as outlined in the coverage selected by the Policyholder.