Member Portal - Viewing claims history

This guide helps you easily track and manage your claims in the Member Portal. It shows you how to view recent claims, search your full claims history, and check claim details like payment info and benefit breakdowns. It’s a simple, step-by-step resource to help you stay on top of your claims, whether for your own records, tax purposes, or coordinating with other insurance.

14 seconds

Bluecross

**View Recent Claims** Recently submitted claims will appear in the **“My Recent Claims”** section. click **“View”** to see the assessment details. - *Note: Only the **most recent 5 claims** will be shown in this list.* - *Note: **Recently submitted claims will not appear** in “My Recent Claims” until they have been assessed.*

**View Full Claims History** If the desired claim doesn’t appear in the **“My Recent Claims”** section, or to view additional past claims, click **“VIEW CLAIMS HISTORY”** from the **“CLAIMS”** menu.

**Search and View Claims History** All claims history is displayed and **separated by family member**. 1. To search for a specific claim, enter the following: - **Service Start Date:** Date the service was received or item purchased. - *If multiple receipts were submitted together, use the date of the **newest** receipt.* - **Service End Date:** End date of the service. - *If service was for one day or the item has no end date, use the same date as the start date.* - *If multiple receipts were submitted, use the date of the **oldest** receipt.* Optional filters: - **Who is it for?:** Select the family member. - **Benefit Category:** Select the benefit type (e.g., Health, Dental, Drugs). After entering your search and filter criteria, click **“SEARCH.”** All matching claims will appear. 2. For more details on a claim, click **“View More”** to see the claim assessment details.

**Review Claim Details** The **Claim Details** screen provides a full breakdown of the claim assessment, including: 1. **Payment Information:** When the payment was processed, who it was paid to, and the amount paid. 2. **Benefit Calculations:** What was submitted, what was eligible for reimbursement, how the payment was calculated, and any Explanation of Benefit (EOB) comments. To save a copy, click **“DOWNLOAD”** to get a PDF of the Explanation of Benefits Statement or Claim Details screen. *Note: Copies of the EOB Statement may be needed for coordinating with another insurance plan or for tax purposes.*

Member Portal - Viewing claims history

14 seconds

Bluecross