Claims Center
Provider Claims
Claims should be submitted within 90 days of the date of service for timely processing. However you have up until 365 days to submit claims.
Claims Submission for Member Reimbursement:
- TSS Member Portal – submit claims through this portal (www.totalscholasticsolutions.com for log in)
- Email: claimsassist@tssassist.com
- Hard Copy Submission – Student may mail to:
TSS Administrative Services
PO Box 211008
Egan, MN 55121
Claim Form only needed if provider does not submit claim
Prescription Claims
All CVS Caremark participating pharmacies can file claims “electronically” and be reimbursed at the point of purchase. The RX Bin #, PCN # and Group # along with the student’s Member ID number will need to be entered. All this information is located on the student’s ID card.
- If the student does not have his/her ID card when filling a prescription, a CVS Caremark pharmacy has up to 30 days to electronically file the claim.
Or the student can pay for the prescription and file for reimbursement using a TSS Claim Form. Please download, complete and submit the form with the original pharmacy receipts.
Check the Status of a Claim
If you are a student and would like to check the status of a claim that you or a provider submitted, you will need to set up an account in the TSS Member Portal if you have not done so already.