Claim Procedures

All medical claims should be submitted to Great-West Healthcare; no claim form is needed however, you will need to make sure your full name and member Id (SID) is on the form. Correspondence concerning claims status, eligibility and benefits should be directed to AmeriBen Solutions at the following address or by calling (800) 626-5520, reference the School's Group #0190390. https://services.ameriben.com

Send Medical claims to:
Great-West Healthcare
1000 Great-West Drive

Kennett, MO 63857-3749

NEIC # 80705

Group # 0190390

07-08 Claim Form

To Fill Prescriptions:

Please give your insurance card or the following information to participating Pharmacies:

Member Name

Member ID # (this is your school ID #)

RXBIN: 003858

RXPCN: A4

RXGrp:  GWTA

To print a temporary card please select your plan below

Plan A

Plan B

For Inquiries on Claim Status, Eligibility and Benefits:

AmeriBen

PO Box 7186

Boise, ID 83707

(800) 626-5520

Group #0190390
https://services.ameriben.com