
You must pre-notify your treatment with Point Comfort, or your visit will be denied and will not be eligible for coverage under the plan. You can pre-notify by calling Point Comfort directly or through the pre-notification portal.
Please Note — Pre-notification is not a guarantee of coverage or payment, and claims will be processed per the benefits of the plan once all necessary claims documentation is received.
Through your Pre-Notification Portal, you will be able to:
Pre-Notification Portal: https://www.pointcomfortportal.com/alliance-strategies
To register for your Pre-Notification Portal, please follow these steps.
Follow the steps below when seeking medical care to ensure your treatment is pre-notified as required by your plan.
You MUST submit the online pre-notification form, OR contact Point Comfort and provide the required information as requested:
If your condition is life-threatening or an emergency, you must call within 24 hours of the incident (unless you are unconscious). Someone else can do this for you on your behalf.
Once you have completed the pre-notification form online or called Point Comfort’s assistance team, you will receive a pre-notification confirmation/receipt and guidance on where to seek medical care.
Once Pre-Notification has been satisfied (and confirmed to you by Point Comfort’s assistance team), you will be offered the following options to seek medical care. Please review your policy wording to confirm any deductibles or copayments you will be responsible for paying when seeking treatment.
Within 24 hours of actually seeking medical care, you will need to submit the following documents to Point Comfort:
We suggest you call Point Comfort’s assistance number on your insurance ID card after seeking care to confirm if any other documents are required to get your claims processed.
The plan includes coverage for a second, follow-up consultation within 72 hours (3 days) of the initial consultation. To comply with the Pre-Notification requirements, you will also need to submit the Pre-Notification Form or contact Point Comfort directly before seeking any follow-up care.
For any inpatient admissions, both Pre-Certification and Pre-Notification will be required. Please contact PCU’s assistance team before any hospitalization admission, or within 24 hours of admission, and they can assist further on these requirements.
Please Note — if you are unconscious or unable to do this, it must be done within 24 hours. Someone else, including the medical facility, can submit the Pre-Certification request to Point Comfort on your behalf.
The services below require both Pre-Notification and Pre-Certification.
Inpatient Care / Surgery or Surgical Procedure / Durable Medical Equipment / Computerized Tomography (CAT Scan, CT Scan) / Magnetic Resonance Imaging (MRI) / Ultrasound / Positron emission tomography scan (PET) / Interfacility Ambulance Transfer / Inpatient Mental Health
You will need to contact Point Comfort or complete the Pre-Notification Form using the details below:
In addition to this, the medical facility will also want to contact Point Comfort to complete the Pre-Certification process. They can contact Point Comfort for Pre-Certification using the details below, which can also be found on your insurance ID card.
PLEASE NOTE — Failure to follow these guidelines may result in reduction or denial of benefits.
Toll-Free (833) 483-0001
Direct +1 (317) 210 2010