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July 14, 2010

Lockton Joins GoHealthInsurance’s Workplace Program

Filed under: Uncategorized — admin @ 1:19 pm

Lockton Benefit Group recently joined the GoHealthInsurance Workplace program to provide consumers across the nation with a convenient online solution to find a quality health insurance plan. More than 15,000 Lockton clients will now be able to leverage the GoHealthInsurance technology used by more than 20 million consumers to obtain the right health coverage.

With GoHealthInsurance tools, Lockton clients will be able to instantly compare health plans from the largest insurers in the nation including UnitedHealthOne, many Blue Cross and Blue Shield companies, Aetna and more. The GoHealthInsurane platform represents more than 10,000 health plans nationwide. Lockton members can also speak with a licensed agent for professional service and advice as they explore coverage options.

To find out more information you can read the entire article here.

April 6, 2010

Denied Health Insurance Claim

Filed under: Uncategorized — admin @ 1:54 pm

“Not medically necessary” is the last thing you want to read on your health insurance explanation of benefits. It can be expensive and it’s hard to read and accept that your insurance provider will pay zero dollars for medical care. There is a list that states “automatic questionable” claims that are now for insurance providers to automatically send denial letters when there is a questionable claim.

Frequent denials occur when your insurance provider has paid more than your premium. Therefore, here are some tips on what to do if you have a denied claim from your health insurance provider…

  1. Call your adjuster or insurance company. Find out information on your policy and take notes. Ask for codes to verify payment.
  2. Read over the denial document. There is a possibility there maybe an error on the documentation. For example, wrong date, place, or names.
  3. Appeal on your own. It is always a battle for doctors and insurance companies to receive payment. For instance, at the bottom of the agreement you sign that you will take responsibility for any additional payments, so legally you are responsible for denied claims. Send the insurer a letter that appeals to your claim and copy your provider. Include the claim and policy number and the name of your provider.
  4. Call or email your provider. Anything from incomplete information or an error filing can be a possibility for a denial. Also, further research your claim.
  5. Take care of completing your documents in a minimum timeframe. Be prepared to answer several questions regarding prior health insurance claims.
  6. For further assistance contact the Federal Employee Health Benefits office.
  7. Read through your health insurance contract.
  8. Keep copies for your own records.

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