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The Most Basic Steps for Submitting Claims and Avoiding Problems |
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Written by John Metz
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The Most Basic Steps
1. Documents:
a. Collect every document (e.g. advertising related to insurance policy(ies) or medical services, medical records, bill details, letters, requests for payment, explanations of benefits, insurance policy(ies), etc.) relating to your situation;
b. Put them in chronological order;
c. Keep them in one folder/box, in one place;
d. Do not send originals to anyone, unless ordered by a court, arbitrator, etc.. Just send copies.
2. Diary:
a. If you didn't do this before the problem arose, review the documents to help you put together the most accurate diary of all events and communications with anyone relating to your situation that occurred before;
b. Keep an ongoing diary of all events and communications with anyone relating to your situation;
c. In your diary, write down the name, contact info, date, time, and content of each communication.
d. Review what you have written to be as certain as you can be that what you have written down is truthful and accurate.
e. Be prepared to certify that what is in it is truthful and accurate.
3. Resolving a problem
a. Write down exactly what you see the problem to be;
b. Write down what you want the resolution to be;
c. Try to contact the individual or entity with whom you are having the problem;
d. Tell them what you see the problem to be and what you want the resolution to be;
If the problem is not resolved promptly and satisfactorily ... contact JustHealth.
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