When you submit a claim to Simply Benefits, it goes through an adjudication process backed by our AI-powered systems and human-powered teams. Our aim is to adjudicate your claim and reimburse you as soon as banking systems allow.
Generally, you can expect your reimbursement to come 1-3 business days after submitting your claim. In most cases, you will be reimbursed the following day. It takes around 0-2 business days to adjudicate your claim, and around 1 day for your bank to process the reimbursement. We are constantly working with the banks to reduce this time.
Adjudicate: The process of reviewing and paying health claims submitted, or denying health claims that are not covered under your health plan (ex. "Simply Benefits adjudicated a recently submitted health expense".
What if I submit my claim on a holiday or weekend?
Claims submitted on a National Holiday or Weekend (Saturday, Sunday) may be delayed by the banking system. This will vary between banks. You can contact your bank to request information on when Electronic Fund Transfers are processed by your receiving bank.