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Claims Management
Background and philosophy
Reporting claims (except Auto Coverage)
     What to do
     Information to have
     When to contact us
     Claims reports
     Contacts
Reporting Claims (Auto Coverage)
     How to report auto claims
     Contacts

Risk Management

Underwriting /
Client Services


Information Services

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Claims Management: Information to Have When You Call

  • Name, age, gender, and insurance status of the patient
  • Billing status for the admission or outpatient visit in question
  • Dates of treatment (including the date of the incident in question)
  • Employees involved in treating the patient or in witnessing the alleged incident
  • Physicians involved in treating the patient and their medical specialties
  • General description of the events and any interactions that occurred between the member and the patient's family prior to calling us
  • Current condition of the patient (if known)

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