Insurance Personnel will most likely call you periodically to “check up” on your healing progress. You may have already had communication with your claims adjuster who is “managing” your case. It is very common that when they call you, they have an agenda besides a compassion for your best interest.
They are recording your call and are looking for information that helps them foresee when your case will be closed, and they are known to be seeking reasons to limit or deny you further care.
It is very important to know how to effectively communicate with them in order to safeguard the health care that you are entitled to and genuinely need.
We have provided for you a list of questions that insurance personnel commonly ask patients. Please read through them to familiarize yourself with them before you need to use them. If you have any questions, please do not hesitate to ask the doctor – give us a call if necessary to clarify any concerns that you may have.
You may want to have the list of questions and appropriate answers found on the following pages readily accessible to use as guidelines when your insurance company calls you.
Note that KEY WORDS that are standardly used in the industry are capitalized. Try to use these words and terms and stay with the basic concepts used in these examples.
RESPONSES TO INSURANCE PERSONNEL QUESTIONS
*Patients Under Care Are Provided With Actual Verbatim Scripted Responses Customized For Their Conditions.
Thank you for taking the time to read through this information. We hope it has been valuable for you and will better prepare you to deal with any uncertainties or disputes that may arise.
Yours In Health and Wellness,
Dr Michael Koplen & Staff