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How to Register and Submit Claims via Online Services

We all aware of how technology has profoundly affected our lives and changed the way we do business. In light of current technological developments, the insurance industry has transformed significantly. Today, insurance companies are continually investing additional resources to improve their customer experience, and to provide the most user-friendly claim systems available for all types of clients.

With the latest improvements for the Group Benefits online systems, plan members can:

  • Submit claims in a secure and controlled way by avoiding filling out claim forms
  • Save time with faster claims submission and get reimbursed within 24-48 hours
  • Receive notifications via email/text once a claim has been processed
  • Access information about benefit statements and coverage balances
  • Check drug and travel assistance information
  • View and print member ID, drug and global travel assistance cards
  • Locate nearest provider who has direct billing access and many more…

If you are:

  • a new employee joining to the team,
  • an employee who didn’t have time to register to online services,
  • or an employee who needs assistance with the registration please keep reading this issue to learn how to register and navigate through Sun Life Financial`s mysunlife.ca; and Great-West Life`s GroupNet.

***Depending on your insurance carrier and type of plan, please keep in mind the registration
process and menu options on your own page might be slightly different. However, registration and
navigation through the online services are very similar.

MySunLife.ca Online Registration Process:

Step 1:

Go to mysunlife.ca and select Register.

Step 2:

i. Enter the requested
information and select
Health/dental benefits
as the type of plan you are
registering with.

ii. Enter your Contract/Policy
number and Member ID.
If you don’t know your policy
number or Member ID, refer
to your membership card
or contact with your plan
administrator.

iii. Click Next.

Step 3:

After you submit your information, the system will search and locate your file. If you are provided a temporary registration code, please enter it now. If you don’t have one, you can email this information to your email address on file or you can receive the temporary code via mail. For postal mails please allow 7-10 business days to receive the code.

Step 4:

If you have received your
temporary registration
code via mail, please
enter your personal and
workplace email now.

Be sure to check “Use this
email to sign in” so you
don’t have to remember
your numerical Access ID.

Enter your password and
select your verification
question and answer.
Click Next.

Now you have completed
your registration process,
and can start using the
online services.

MySunLife.ca Online Claim Process:

Step 1:

Once you have signed to the website, this is how your home page will look like (please check the next page).

A – BENEFITS

The HOME page allows you to see your 5 most recent claims. Click All Claims to view your entire claims history.

B – BENEFITS CENTRE

Benefits Centre provides a quick view of your claims and coverage.

Under Benefits Centre, you can look up your drug information, get details of your medical and dental coverage, submit a drug and dental claims, and many more…

To learn more about what you can do in Benefits centre, please follow Step 2 on page 6.

C – SUBMIT A CLAIM

Submitting a claim has never been easier. You can simply fill in the information online and receive your payment immediately. Once you submit your claim, you will receive an online notice telling you whether the expense is covered, the amount and details of your claim payment.

If this is your first time visiting www.mysunlife. ca, you need to register your direct deposit information to the system. In order to do that, please follow Step 2 – E on page 7. If you have already registered your banking information to the system, here is what you need to do submit your claims online:

Select “Submit a Claim”,
then choose the type of
claim you want to submit.
You will be guided through
the claiming process in a few
easy steps.

Please don’t forget that
your insurance company
may randomly audit
claims submitted online,
so please be sure to keep
your original receipts and
supporting documents for
12 months.

D – COVERAGE INFORMATION

This provides you with quick access to coverage available for you and your dependents under your medical and dental plans.

E – WELLNESS CENTRE

This provides you a Health Risk Assessment quiz to pinpoint what you are doing well and where you could use extra motivation to be healthy. If you are using pharmaceutical drugs, you can also find the alternative drug information, coverage, side effects, interactions and use guidelines in this section.

F – PROVIDER SEARCH

If you are looking for a local health service provider, in this section you can find the closest providers in your area and see how other members rate their experience with them.

Step 1:

Once you click “Benefits Centre”, the Quick View page will be displayed. You will immediately see list of most frequently requested information.

A – COVERAGE MENU

Under coverage menu you can:

  • Get details of your medical and dental coverage.
  • Look up drug information.
  • Check the date of you and your dependents`
    last purchase, remaining amount and next purchase date on glasses/lenses.

B – CLAIMS MENU

Claims menu allows you to submit your claims including drug, dental, paramedical, vision care, Health Spending Account (if you have one).

Here you can:

• Print personalized claim forms
• View a claim statement
• View most recent claims payments
• View claims history

C – PROVIDER SEARCH

You can search by health provider category for your area by entering your address, postal code or city. The results will also show you how other plan members rate their experience with the provider.

D – DELISTED PROVIDER LISTING

You are provided with a list of delisted health care service providers. Please make sure to check this list before you visit your service provider. You won’t be reimbursed for any claims or services from these providers.

E – DIRECT DEPOSIT & ONLINE CLAIM STATEMENTS

Online claims tool allows you to receive your payments quicker for your health and dental claims. It is easy, fast and environmentally friendly!

Note: If this is your first time visiting www.mysunlife. ca, you need to register your direct deposit information to the system.

How to Register Direct Deposit Information:

First, you need to add your banking information. Select “update” button. You will need your banking information (transit, institution and account numbers) or a cheque handy.

Enter your banking information in the boxes provided, and then select the “submit” button. Once you submitted your information successfully, and then select the “close window” button.

After you add your banking information to the system, Sun Life will send you an email to confirm your email address. Validate your email address by responding to this automatic email.

Please make sure your email address is active and correct.

Great-West Life - GroupNet for Plan Members

With GroupNet for Plan Members, connecting with Great-West Life is very easy. What`s your preferred way of getting in touch with your benefits provider?

How to Register GroupNet for Plan Members

Follow these steps to register and log in for the first time:

 

  1. Go to groupnet.greatwestlife.com
  2. Click GroupNet for Plan Members
  3. Click Register (Have your plan number and member ID available, as you will be prompted to provide this information)
  4. Follow the instructions to register and choose your own user name and password.

How to Use Member eClaims

  1. Sign in to GroupNet for Plan Members.
  2. Sign up for Direct Deposit of your claim payments ( you will need your banking information)
  3. Select edetails for email notification. You will be notified once your claims are paid, and will need these features to access Member eclaims.
  4. On the GroupNet home page, click Claims – Online Claim and follow the steps to submit your claim.

If your service providers are using Provider eclaims, they can submit your claim for the service you received. As long as the provider is registered for Provider eClaims, you don’t need to submit your claim and you will be informed right away whether the claim is approved, declined or held for review.

If you don’t know if your provider is registered, you can check out the Provider eClaims listing under www.greatwestlife.com, ask your service provider or you can simply contact TELUS Health Solutions at 1-866-240-7492.

Coordination of Benefits with GroupNet

If both you and your spouse have coverage under your group insurance plans, you may be able to cover 100% of your expenses.

GroupNet Mobile Claim Process:

GroupNet Mobile is Great-West Life`s newest free mobile app. The app allows plan members to use their Android, iPhone and BlackBerry device to:

  • Submit claims online
  • Access personalized coverage information about benefits, claims and more
  • View card information (member ID, drug, etc.)
  • Locate nearest service provider who does direct billing to Great-West Life through a built-in GPS mapping tool.

In order to use mobile services please go to the  “App Store” on your device and download GroupNet Mobile App.

After you download the app, this will be your welcome page. Please sign in to the application by putting your GroupNet user name and password.

If you need more information on what you can do with Great-West Life`s GroupNet mobile app, click on the image below to watch a Youtube video to see how easily and quickly you can access to your benefits information and submit e-claims.

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