1. Go to at least two of the following insurance carrier websites that lay out their claim submission guidelines. Identify at least three differences between two of the insurance carrier’s policies. In a Word document, for each item you found, write one paragraph for each of the differences. Be sure to identify the carriers. Save the Word document as “SubmissionDifferences”.

• BCBS-IL Claim Submission Home Page (Links to an external site.)Links to an external site.
• Anthem Claims Submission Guidelines (Links to an external site.)Links to an external site.
• Cigna Claim Submission Guidelines (Links to an external site.)Links to an external site.

1. Research an insurance company website, such as Aetna, BCBS, or Cigna. Find a page where it provides instructions for submitting a claim. In a Word document, describe the process in terms a non-billing professional might understand, especially special cases or exceptions. Save the document as “ClaimProcess”

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INFORMATION 

Health Insurance Company’s Claim Process

Introduction

If you’re a policyholder of an insurance company, there are certain steps that you should follow when filing a claim. You may have heard of the term “claims process” but aren’t sure what it entails or how it works. The following guide will help you understand the process and make sure that your time spent with your doctor is productive and efficient!

Gather all your documents

• Keep all your receipts.

• Keep all your bills.

• Keep all your medical records (including copies of lab results, X-rays, and other diagnostic tests).

• Keep a copy of each insurance policy you have on file with the company.

Fill out a claim form

A claim form is a document that you must fill out in order to make a claim with your health insurance company. The form will ask you questions about your medical expenses and what kind of coverage they are under, as well as any other information that may be needed.

When filling out the claim form, it’s important to list all of your medical expenses:

• The date(s) that this happened

• How much each treatment cost (if applicable)

• What type of service was performed on yourself or someone else

Submit your claim for reimbursement

You can submit a claim to your insurance company by calling them and speaking with their customer service representative. The representative will ask you for all relevant information, including the date of your surgery and what type of surgery it was. It is important to note that some policies cover certain types of surgeries while others do not cover them at all, so be sure to read your policy carefully before submitting a claim online or over the phone.

After providing this information about yourself and your surgery, it’s time for them to process your request! They’ll review their records and determine if they’re able to reimburse you based on what they’ve seen so far (or if there are any limitations). Once they’ve made this determination, we encourage everyone who’s eligible for reimbursement—even if only partially—to contact us directly so we can help guide through the process together!

Review and follow up on the status of your claims

When you submit your claim, the insurance company will contact you within 10 days of receipt. If they have not contacted you within that time frame, let them know that you would like more information about the status of your claim.

If there are any problems with processing your claim or if we need more information about it, we will contact you again via email or phone call within 30 days from when we sent out our initial communication (e.g., letter).

If at any point during this process and after being contacted by our claims team member(s), if:

• You are not satisfied with how things were handled;

• Something wasn’t handled correctly;

or * There’s something else going on where we can help resolve it quickly – let us know!

Be sure that you understand the claim process before going to the doctor

Before you go to the doctor, be sure that you understand the claim process.

You need to know what you are paying for and how much of your deductible will be reimbursed by insurance. You should also ask how long it will take to get your reimbursement, as well as who has access to your medical records and can help with questions about the claim process.

Conclusion

I hope that this guide has given you a good understanding of how to submit a health insurance claim and how to follow up with the company if it’s denied. If there is anything else that I can help with, please let me know.