Explain why you want to follow up on the claim

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Reference no: EM133224573

Question:

Use the resources on below to assist in answering the following questions.

The scenario: you are in private practice in your own office. You are newly starting out and have no staff yet. You are a provider with a number of third party payers.

The phone rings and you answer it. The person on the phone is John Doe. He explains he was told to call you by his doctor and make an appointment. He was recently diagnosed with type 2 diabetes. His doctor wants him to lose weight

What questions do you have or information do you need to obtain from Mr. Doe concerning his insurance while he is on the phone?

Now that you know Mr. Doe's insurance carrier and he says he has a referral, what additional information do you need about Mr. Doe's insurance and referral?

What information do you need to have to speak or check online with his insurance?

What questions do you need to ask Mr. Doe's insurance company in order to determine if your MNT will be covered for Mr. Doe?

What must you obtain from him at the appointment?

What is the name of the insurance form to complete in private practice?

On the attached insurance form, complete the information for it to be submitted to Mr. Doe's insurance company.

As a result of not receiving an EOB or any communication on the claim by February 29th, what should you do?

Explain why you want to follow up on the claim.

If the claim was denied, what can you learn from the EOB?

Reference no: EM133224573

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