Frequently Asked Questions: Member Portal
General Information
What is Real Time Adjudication (RTA)? Which claims are eligible for Real Time Adjudication?
Real-time adjudication (RTA) refers to immediate processing of an eligible claim.
We now provide quicker reimbursement through real-time adjudication across more lines of benefits. This means we may need to ask a few extra questions to ensure faster payment for eligible claims.
Eligible Lines of Benefit for RTA Claims:
- Acupuncturist
- Athletic Therapist
- Audiologist
- Chiropractor
- Clinical Psychologist
- Counsellor
- Dietitian
- Foot Care Nurse
- Massage Therapist
- Naturopath
- Occupational Therapist
- Reflexologist
- Social Worker
- Speech Therapist
- Prescription Drugs
- Vision
- Orthodontic Treatment (where Prior Authorization Present)
Guides and how-to's
Where do I start?
Check out our handy User Guide for the member portal! With the member portal, you can manage your plan anywhere, any time. Access plan information, check coverage amounts, submit claims, and so much more! Your member portal and mobile app makes managing your plan a breeze.