ONLY ONE INSURANCE LISTED
IN SYSTEM – OTHER INSURANCE PRIMARY
Cld --------
@ --------------, spoke with ------------ said claim was denied / pended on -------- for want of COB information from patient.
Inquired with rep, if they show another insurance as primary or this is a
routine check from insurance. Rep said, they show another insurance as primary
and was unwilling to provide the other insurance name and suggested we contact
patient. Last letter was sent to patient on ------- date. Claim# ---------.
Found no other insurance in system.
Please
advice if patient provided any other insurance information during time of
service. If yes, please update the insurance and set the claim to rebill. If
not, please advice if we can transfer the balance to patient.
THINGS TO DO –
CREATE
CLT 3 : DEMO / ELIGIBILITY TASK
CLOSE
PS DM 3 : DEMO / ELIGIBLITY TASK IF AVAILABLE
ONLY ONE INSURANCE LISTED
IN SYSTEM – ROUTINE CHECK BY INSURANCE
Cld --------
@ --------------, spoke with ------------ said claim was denied / pended on -------- for want of COB information from patient.
Inquired with rep, if they show another insurance as primary or this is a
routine check from insurance. Rep said, they do not see another insurance as
primary as of now and this is a routine check to verify COB. Last letter was
sent to patient on ------- date. Claim# ---------. Found no other insurance in
system.
Please
advice if patient provided any other insurance information during time of
service. If yes, please update the insurance and set the claim to rebill. If
not, please advice if we can transfer the balance to patient.
THINGS TO DO –
CREATE
CLT 3 : DEMO / ELIGIBILITY TASK
CLOSE
PS DM 3 : DEMO / ELIGIBLITY TASK IF AVAILABLE
TWO INSURANCE COMPANIES
LISTED IN SYSTEM / ENCOUNTER –
Cld --------
@ --------------, spoke with ------------ said claim was denied / pended on -------- for want of COB information from patient.
Inquired with rep, if they show another insurance as primary or this is a
routine check from insurance. Rep said they show other payer as primary / unwilling to say
if show other payer as primary. Last
letter was sent to patient on ------- date. Claim# ---------. Found XXXXX is listed as secondary insurance in encounter / listed
in patient’s demographics, Cld XXXX
insurance, spoke with said they are secondary insurance for the payer / policy is no longer
effective.
Please
verify if patient confirmed COB information with both the insurance companies.
If yes, please verify which is the correct primary payer. If not, would you
like us to bill the patient?
THINGS TO DO –
CREATE
CLT 3 : DEMO / ELIGIBILITY TASK
CLOSE
PS DM 3 : DEMO / ELIGIBLITY TASK IF AVAILABLE
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