You will get 1 of 6 responses . . .
Now insurance companies contact you!!!!
You will receive 1 of the following responses on every claim placed.
1. You will be paid in full from carriers that were just delaying payment.
2. Carrier will send you a partial payment with an explanation of benefits (EOB). Now you know the remainder is self-pay or a write-off.
3. A request for additional information needed to process the claim ( a check should be received with weeks of responding).
4. Payment was sent to patient. This information is much more valuable to find out in two weeks rather than 6 months.
5. Other possible responses. . ."never paid premium" . . . "policy canceled" . . . "non-covered treatment" . . . "deductible not met" . . . "divorce--spouse no longer covered". These claims are now resolved and you can pursue payment from the correct payer source or patient if you choose.
6. If our letter demands are totally ignored, the claim should be considered a self-pay account. Now the patient can be responsible for resolution from a non-responsive insurance carrier.