Revised 09/20/04
What To Do When Injury Occurs
- Fill out claim form completely. (ie. time, date, complete description of accident). Be precise. School Official completes Part I. Student or parent/guardian completes Part II. Requires coach/trainer and student signature. Make a copy for your file.
- If student has other insurance, file a claim with the students insurance carrier as well. Keep a file on every athlete and make copies of all claims filed. (must know student social security number, other insurance claim numbers, policy numbers. etc.)
- For any athlete who does not have primary health insurance, send them to one of the providers in the Texas Health Network list of providers (call 1-800-900-9750 and give a zip code to locate the closet doctor). Have the athlete take a completed claim form with them to the provider. Athletes who have primary insurance my go to doctors or hospitals of their choice. The network is preferred but not required. For athletes who do not have primary health insurance, the network providers are required.
- If an athlete is involved in an HMO and the HMO denies payment or services, the athlete must get the denial in writing before this insurance can pay.
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Who to Contact with Questions
For questions concerning claims, Explanation of Benefits (EOB's) etc. contact the claim administrator, Preferred Care Inc at 800-222-3085.
You may also call the agent, Rommie Maxey, at 1-877-818-4316.
You may always talk to John King in the DCCCD Risk Management Department.