Unfortunately, insurance claim underpayments have already become extremely common. It is noteworthy that a large portion of denials occur because an insurance payer has failed to process your claims in an appropriate manner.
Should this be the case – calling the payer’s customer service is among the first things that you would need to do. It is often possible to reprocess an underpaid claim by a single phone call. Our billing experts have compiled a list of lifehacks that make claim reprocessing so much easier.
I. Even if you think that it is possible, there is always a way to do it
Some insurance companies are extremely tricky. When calling their customer service, it seems as if there is no option to be connected with a live agent. An IVR (or, to put it simple, an answering machine) simply does not announce such an option, leaving you on your own with your claim denial.
It is no time to hang up! Even though you are not suggested to be transferred to customer service, there is always a way to be connected to a live agent. Just press “0” (zero) on your keypad once or multiple times, and you will most likely be transferred to the claim agent, with whom you could discuss your issue.
And if it still doesn’t help – most insurance payers have their own online provider portals allowing you to submit an inquiry
II. Take a reference number, and don’t be afraid to ask for a supervisor
It is quite predictable that some customer service agents may not be performing their job at their fullest. In order to ensure that your inquiry is accepted and documented accordingly – make sure to ask for a call reference number from the representative. This will allow you to track the status of your inquiry either online or during the next follow-up calls. Moreover, if you are having trouble explaining your issue to an agent, or if you believe that you are being mistreated – ask them to transfer you to a supervisor.
III. Have a bunch of claims reprocessed at once
Do not waste your time calling customer service about every single underpaid claim. Instead, it is recommended to jot down a list of such claims and mention them all to your agent. In most cases, insurance customer service may include from 3 to 10 claims into a single inquiry.
And if all this seems too complicated to you – delegate your claim collection to the professionals!
WCH Service Bureau billing experts have over 20 years of experience in reprocessing insurance claims. We know how to get things done quickly & efficiently.