FAQs

FREQUENTLY ASKED QUESTIONS

What does NAHGA Stand for?

It stands for “National Accident Health General Agency”

HOW DO I PROCESS A CLAIM?

There are three important documents we need to process your claim:

  1. A completed, signed Claim Form*
  2. An Itemized Bill from your Medical Provider
  3. Your Primary Insurance EOB (Explanation of Benefits)**

The Explanation Of Benefits form produced by your medical insurance company explains what was paid on your claim by other insurance companies and why.

Once we review these documents, we will contact you if any additional information is needed. Your claim will be processed once all required information has been received.

Documents may be transmitted to NAHGA in whichever way is most convenient for you:

Mail: P.O. Box 189, Bridgton, ME 04009
Fax: (207) 647-4569
Email: Claims@NAHGA.com

*If you are a student-athlete, please follow your school’s instruction on how to report your claim.
** We will not need an EOB if you do not have any other insurance

WHAT IS A TPA?

TPA stands for “Third Party Administrator,” which is an organization hired to process insurance claims. NAHGA is a TPA hired by insurance companies or directly by clients to investigate and pay claims.

WHAT IS A HCFA? WHAT IS A UB92/UB04?

HCFA is a specific medical billing form that is utilized by physician and outpatient offices to bill medical charges to insurance carriers or Third Party Claim Administrators. A UB92 or UB04 are also specific billing forms; however, they are utilized exclusively by hospitals and outpatient surgical facilities.