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SIGIS Manual Claims Standard

by SIGIS | December 26, 2024

The SIGIS Board of Directors is pleased to announce a new Manual Claims Standard to support the use of the Eligible Product List in manual claims adjudication. The new specification will allow for a more consistent consumer experience by using the same Eligible Product List used in IIAS card-based transactions for manual claims submitted by consumers to their plan administrator.  SIGIS licensing allows for receipt matching via the Eligible Product List in Manual Claims Processing for (a) individuals enrolled in Health FSAs, HRAs, HSAs, or Government Sponsored Health Accounts that use Health Benefit Cards with an identified BIN subject to the SIGIS IIAS and/or 90% rule, and (b) Plan Administrators that use Health Benefit Cards with an identified BIN subject to the SIGIS IIAS and/or 90% rule in substantially all plans and programs that they administer.  This new specification is available for SIGIS member Plan Administrators and companies that develop software and/or services for Plan Administrators.  The Manual Claims specification was developed by SIGIS Technical and Eligible Product Committee’s. 

Members can view the specification at https://sig-is.org/download?ContentId=22567.

Plan Administrators and Plan Administrator software and/or service providers will need to complete a certification process for the use of this standard.

For questions or concerns please contact the SIGIS Help Desk at help@sig-is.org or 925.855.3228.



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