Claim Resolution – Three Step Process

Have a benefit question or a problem? Follow this easy three step process for the most expedient response to your question or problem:

Step 1- Employee Benefit Communication Center

Your Employee Benefit Communication Center has been custom-designed to provide eligible Moorestown Township Public School employees with 24/7 access to a single, comprehensive resource summarizing the highlights of your health benefits program. Benefit overviews, benefit updates, contact information, FAQ’s, and carrier forms are all located on this website. You will find the answers to many of your general questions in the Employee Benefit Communication Center.

Step 2 – Contact the Carrier or Plan Administrator Member Services Department

Sometimes the quickest way to get an answer or resolution to a problem is by contacting the Carrier or Plan Administrator Member Services directly. Call the member services number on your ID card or refer to the list below for all contact information:

Aetna Member Services (Medical Plans)

Aetna HMO Plan Phone: (800) 370-4526

Aetna Managed Choice POS (Open Access) Plan Phone: (866) 658-2455

Website: http://www.aetna.com/

Express Scripts (Prescription Plan)

Member Service Phone: (800) 467-2006

Website: www.express-scripts.com

Accredo (Specialty Medications Provider)

Phone: (877) 222-7336

Website: www.accredo.com

SaveonSP (Specialty Medication Program)

Phone: (800) 683-1074

Delta Dental (Dental Plan)

Phone: (800) 452-9310

Email: service@deltadentalnj.com

Website: www.deltadentalnj.com

VSP (Vision Services Plan)

Phone: (800) 877-7195
Website: www.vsp.com

Flex Facts (Flexible Spending Account Administrator)

Website: www.flexfacts.com

Member Services: 877-94-FACTS (877-943-2287)

*Please make sure to note the name of the person that you speak with. If your problem does not get resolved or the representative is not able to answer your question, go to Step 3.

Step 3 – Call Your Employee Advocates at Assured Partners for Help!

The Assured Partners team can assist you in a variety of ways. Here are some examples of when you should contact the Assured Partners Team:

You believe your claim was not paid properly.
You need clarification on information from the insurance company
You have a question regarding a bill from a doctor, lab, or hospital.
You are unclear on how your benefits work.
You need help to resolve a problem you’ve been working on.

The Assured Partners team an be reached during regular business hours:
Monday - Thursday 8:30 am - 5:00 pm & Friday 8:30 am - 4:00 pm

Ways to Contact the team are calling, faxing, texting, or emailing your team members below:

Dedicated Email Inbox - LGBENEFITS@ASSUREDPARTERNS.COM
Please use this email address for your day to day member contact for enrollment, changes, claims and or service issues for all members. This dedicated email address gets sent to our team of members who can access and address all issues quickly.

Benefits Specialist - Dawn Falzone
Ms. Falzone is the day to day member contact for enrollment, changes, claims and or service issues for members.
Contact Number: 973-669-2364
E-mail: dawn.falzone@assuredpartners.com

Employee Benefits Operations Manager - Carrie Specht
Ms. Specht is the Employee Benefits Operations Manager responsible for coordinating the efforts of the Assured Partners service team.
Contact Number: 856-996-1820
E-mail: carrie.specht@assuredpartners.com
Lead Consultant - Greg D'Orazio
Mr. D'Orazio should be contacted for issues outside of regular business hours. The number given will forward to Mr. D'Orazio's cell phone providing true emergency access.
Contact Number: 856-996-1819
E-mail: greg.dorazio@assuredpartners.com