Filing claims

Things to do before you file a claim:
Review your policy or employee booklet carefully to make sure the plan covers the service in question. If you have any reason to think a health care service may not be covered, or that your company disagrees with your understanding of the policy, talk it over first with your provider and with the insurance company. Resolving questions first can prevent problems later.

You should never assume your plan will cover a treatment or service. Follow your plan’s rules, including pre-certification requirements and use of network providers. Your provider may require you to make a copayment or pay your coinsurance at the time of visit.

Fill out any claim forms the provider or insurance company gives you. Be sure to include your policy number and other identifying information.