Speed Up Your Claims!
There are a few simple things that you, the beneficiary, can do in order to expedite the processing of your claim. Here are a few suggestions:
- Submit pharmacy summaries, not labels.
Submit pharmacy summaries. Your pharmacy can give you a printout for the date range you specify. If it is necessary to submit prescription labels, send copies only, making certain they are on pages that are 8-1/2 inches by
11 inches in size. Retain the originals for yourself. It is also unnecessary to send drug descriptions.
- Do not staple your claims.
Staples jam machines we use to scan your claims. Do not staple your claims together. It is not necessary as our employees meticulously ensure that claims and all pertinent paperwork will stay together.
- Make sure all papers are 8-1/2 inches by 11 inches.
It is easier for us to process your claims if all of the papers you submit are a full 8-1/2 inches by 11 inches. If you have continuous feed documents, separate them along the perforated lines. Additionally, try to ensure that there are no torn or frayed edges.
- Do not tape papers.
If a paper is small, frayed, or torn, do not tape it to another paper. Instead, make a copy and submit that. Also, do not submit sticky notes with your claims.
- Make certain that the patient's name and social security number is
on the claim.
Make certain that it is the name and social security number of the person receiving the medical services that appears on the claim. If a dependant receives medical services, their name and social security number should appear on the claim, not the sponsors. In addition, if two or more people in your family have similar first and last names, have the middle name spelled out on the claim form. It would also be beneficial if you inform whoever is providing the medical services of this so they can bill us correctly.
By following these few simple hints, you can greatly increase the speed in which your claims get processed. Following this advice will help us when we process your claim, although we will always do our best to rapidly process any claim that you submit.