The Six Step Approach To Dealing With Health Insurance Claims
Part 1: The Basic Tools, Chapter 3: Developing a Systematic Approach to Dealing with Health Insurance Page 2
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THE SIX STEP APPROACH TO DEALING WITH HEALTH INSURANCE CLAIMS
Developing a systematic approach to dealing with health in surance claims involves six steps
- setting up an information file;
- using the predetermination of benefits process;
- establishing an efficient claim-filing system;
- setting up a record keeping system;
- developing a method for filing claim appeals with insurers;
- establishing a system for requesting help from government agencies or private organizations.
STEP ONE: SETTING UP AN INFORMATION FILE
Setting up an information file involves writing down questions about your current health insurance policy and then recording the answers to those questions. There are a number of questions and answers that should be included in any infor mation file (See Table 8).
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