Flex Care: Self-Pay Reimbursements

If you’ve paid out-of-pocket for a qualifying medical expense you may be eligible for reimbursement through Sana. 

To avoid delays, have the following information and documents prepared before submitting your reimbursement request.

1. Confirm with your provider that they are not directly contracted with Sana and won’t submit claims on your behalf.
2. Make sure you've paid your bill in full in order to qualify for reimbursement.
   • Balances left over or payment plans in progress are not eligible
3. Obtain an Itemized Bill (Superbill), which must include:
   • Patient name
   • Provider name
   • Provider NPI
   • Date(s) of service
   • CPT code(s) and/or revenue code(s)
   • Units for each code
   • Charges for each code
   • Diagnosis code(s) indicating the reason for the visit
   • Amount Paid - reflecting no balance is left over
   • Pro Tip: If you have multiple dates of services for the same provider please include them all under one submission.
4. The reimbursement method is automatically set to an electronic check, if you wish to change this to a paper check click Change how you get paid on the Submit a Claim tab to update your reimbursement method. 

To submit your claim, go to the Submit a Claim tab to start a new claim. Once your claim has been submitted you will receive the following email confirmation.

If you wish to track your claim, you can monitor the status of your submission through the "Medical Claims" tab on your dashboard. Once our team submits your claim, you’ll receive a second email confirming its status or requesting any missing information if needed. 

If your claim qualifies for reimbursement you will receive a third and final email confirmation from CheckbookIO (support@checkbook.io) of Sana Benefits issuing a payment to you. 

Important Considerations:

• Processing Time: Claims may take up to 60 days from the submission date to be processed. The submission date starts once our team sends you the second confirmation email stating your claim has been submitted and will begin processing.
  • If 60 days have passed and you have not received payment confirmation or your claim is still processing please contact us directly.
• Duplicate Submissions: Please avoid submitting claims to Sana if your provider is already doing so. Your claim may be denied if we identify that it is a duplicate submission
• Scope of Reimbursements: Please only submit reimbursements through Sana for medical claims. Rx, dental, and vision claims must be submitted through the appropriate carrier. Click here for Smith Rx reimbursements.