HealthSmart Benefit Solutions, Inc. fax number

Fax destination details

Department

Catastrophe Major Medical (CMM) Claims / NYSUT Plan Administration

Purpose

Submitting Catastrophe Major Medical (CMM) claim forms for the NYSUT benefit plan; sending the form and supporting documentation via fax to HealthSmart.

Form

Catastrophe Major Medical Claim Form — Catastrophe Major Medical (CMM) Claim Form for NYSUT

Address

HealthSmart Benefit Solutions, Inc., PO Box 1014, Charleston, WV 25324-1014

Voice phone

844-552-7805

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Complete the Catastrophe Major Medical Claim Form and attach supporting documentation. Include the NYSUT group number 5959 and group name NYSUT on submissions. Claims must be filed within two years of the expense; you may submit by fax to 806-473-2535 or by mail to HealthSmart Benefit Solutions, Inc., PO Box 1014, Charleston, WV 25324-1014.

Official form instructions are published as a downloadable file on the organization's website.