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Behavioral Health Provider FAQs

What is the purpose of Direct-Billing? 

The intent of offering direct bill is for those services that are not covered by insurance or a departments BH contract. An individual should ask for reimbursement of their co-pays, coinsurance, or deductible directly from Sedgwick.

What exactly is the direct billing process? 

Please click here to find the direct billing process.

You can also read more about it here: Direct Billing Option Now Available for Behavioral Health Program

Where do I send the claim form? 

The claims form on our website is our current form. The complete claims form should always be sent to the email listed, claims@cfhtrust.com. A firefighter only needs to submit one claim form.

Claims forms can be found here: cfhtrust.com/claims

What do I do once a claim number has been established? 

Providers will send their invoice directly to Sedgwick once a claim number has been established.

Where do I submit a request for reimbursement? 

The Sedgwick email, cofftclaimmail@sedgwick.com should only be used when submitting request for reimbursement once a claim has been established and the firefighter has been provided a claim number. When using the Sedgwick email, the firefighter or provider should include the claim number in the subject line.

Who is responsible for providing the BHT claim number to the clinic? 

The individual firefighter is responsible for providing the provider their BHT claim number. 

Who keeps track of the amount someone has in their BHT funds? 

Sedgwick notifies the firefighter of their BHT balance after each reimbursement. Sedgwick will not share a firefighter’s balance with a BHT provider. The firefighter is responsible to informing their clinician that they still have funding available.

What does a clinician need to submit with an invoice? 

A clinician submits invoice via email cofftclaimmail@sedgwick.com to Sedgwick with the following information:

  1. Claimant name
  2. Sedgwick claim number (in the subject line)
  3. Type of treatment received
  4. Copy of referral from a culturally competent clinician for specialty treatment
  5. Date of service of treatment
  6. Mailing address where the reimbursement should be sent
  7. Completed W-9
Could someone file a claim for a child receiving therapy without their parent, who is employed at a fire agency in the room? Does that also include their partner for individual therapy? 

At this time, the Behavioral Health Trust is not able to accept a claim for a child or spouse of a firefighter that is receiving therapy on their own. Services rendered for family and/or marriage counseling are covered under the behavioral health program as long as the covered firefighter participates in the therapy with their child or spouse. The benefits cap ($10,000 per coverage period per covered individual) applies to mental/behavioral health services sought by the covered firefighter

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