VERIFYING INSURANCE

you will need front/back of patients insurance card date of birth/photo id call the provider # on the back of the patients' card if there isn't a provider #, call the customer service # and wait for provider option choose eligibilty/benefits on the prompts be prepared to type in or say patients id when it asks to fax or tell you the benefits press 0 or say customer service and they will take you to a live person (most of them do, if you can not get to a person witout listening to the machine first just hold and try to press 0 after the machine is done) verifying the benefits get the persons name you are speaking to! they will ask you to verify practice information please be ready tell them you need chiro & physical therapy benefits tell them they will be performed in office by a chiropractor ask them if this is a calendar or anniversary year policy? calendar = 1 1 24 12 31 24 anniversary = 5 31 24 4 30 25 is a referral required? (most of the time the answer is no this is also known as a precertification) we always need in network benefits if they have a deductible ask does chiro & pt apply to their deductible? make sure to get deductible and out of pocket amount and how much has been met? if their deductible applies what percentage are they responsible for after it is met? 10%, 20% what is their visit limit? (sometimes it's a dollar amount i e $1000) repeat everything back to the customer service rep make sure to always get a reference #