Healthcare Navigation Tip#2: Insurance
Tip #2 Talking to an Insurance Company
First take a deep breath and exhale! Have all your information in front of you including your policy number and if applicable the insurance explanation of benefits. If you are investigating a claim, it helps to know what your policy covers. Insurance companies do make mistakes will make adjustments. If you have been denied coverage, ask exactly why it has been denied. Sometimes, it needs to go back to the doctor to recode or other times the insurance company will resubmit it. Be prepared to be on hold. Wait times can be as long as thirty minutes especially on Mondays. Take the name of the person you are speaking with and write down the conversation. If you feel you are not getting anywhere with the customer representative, ask to speak with a supervisor. If you are not satisfied with the information, call back. You may get new and helpful information.
Posted by HealthCare Whisperer at 1/28/2010 1:43 PM 
Categories: insurance,health,claims
Tags: benefits health insurance claims
Categories: insurance,health,claims
Tags: benefits health insurance claims
It is practical and useful information but there is one other important point which the insurance buyer should ensure is that the Insurance company should follow HIPAA norms. This will protect his or her confidential health information from unauthorised access.
Jason Gaya
http://www.empowerbpo.com/blog/
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