employee benefits department
It goes without saying that our employees deliver the services to our students and community - they are our most valuable asset. So, when it comes to important issues like employee benefits, we are committed to offering comprehensive benefits, services and programs to eligible employees, retirees and eligible dependents.
WHAT'S NEW IN BENEFITS
Effective January 1, 2019 the Riverside Unified School District Self-funded Medical Plan changed third-party administrative (TPA) services to Lucent Health. Our RUSD medical benefit plan transition to Lucent Health continues. As part of the transition, all unpaid claims submitted to Delta Health Systems have been forwarded to Lucent for review. The clean-up of these claims is ongoing. This includes bills and services from 2018 and prior.
While Lucent continues to process past and present claims, you may still be receiving past due invoices. For questions or assistance in having your claims processed, please contact Lucent Health directly or the RUSD Benefit Advocate dedicated Helpline:
RUSD BENEFITS ADVOCATE: (800) 914-5096 or BenefitsAdvocate@mcgriffinsurance.com. The advocate will work directly with Lucent on your behalf. Please have your medical ID card and medical bills available.
Why is this Happening? The Provider (doctor's office, laboratory, hospital, etc) did not submit the claim to Anthem for pricing with the correct information* on your new medical ID card, or coded the services incorrectly. Keep in mind that annual deductibles and out-of-pocket maximums still apply and some invoices are patient responsibility. Be sure to contact Lucent Health for Explanation of Benefits.
We understand this process is frustrating, but rest assured, Lucent is working diligently to process your claims as soon as possible.