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Attentively Evaluate Your Individual Medical Insurance Claims

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 Attentively Evaluate Your Individual Medical Insurance Claims
Attentively Evaluate Your Individual Medical Insurance Claims

Attentively Evaluate Your Individual Medical Insurance Claims

Everyone wants to live in a world where there are no billing errors within their health care claims and reimbursement system; and life goes on smoothly. However, it's just a wishful thinking and it's important for you to spend some time evaluating each Explanation of Benefit (EOB). Checking EOB is important because if you won't then you might end up overpaying on your health insurance claim. In EOB it's been described what insurer had agreed to cover, what you were charged less and the balance sum you owe.

Chances are your EOB isn't all that descriptive in nature. Even in such scenario you can check it to see if for your name, address and policy information is correct. Also, check to confirm that you were charged the "allowable" rate by the insurer. Group discounts become valuable thing when deductibles gets as high as $10,000 and amount goes from your bank account.

Some Other Common Errors You Should Look for in EOB are:

  • Legitimate claims denied stating "medically unnecessary."
  • Charged services that you didn't even receive (upcoding).
  • Unbundling, where a single procedure is broken down in many bills.
  • In-network service providers dubbed as out-of-network.
  • Failing to get credit for deductible you've already paid.

To keep track of all the things that can go wrong, it's wise to get an itemized bill from hospitals and any other service provider you've used. But understanding all these papers can be a daunting task for common man, so hire an advocate, if needed.

Not many like the idea of hiring a professional to fix this kind of mess, but it's better than falling victim to identity theft. You could lose control of your social security number and private financial info. You might not get the care or service you need if someone has already made phony claim on your benefits and your chart contains wrong info.

So do your homework and prepare yourself well in advance for inflated bills or medical identity theft.

Attentively Evaluate Your Individual Medical Insurance Claims


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