Should I be keeping copies of all this paperwork?
Correct!
As the claimant, you have the burden to prove your claim should be paid. Keep copies of all information related to your claim and the denial; both the information you submit and the responses you receive. If necessary, you can request copies of your entire claim file free of charge from the insurance company. Examples of important records are:
- The Explanation of Benefits forms or letters showing what payment or services were denied, and why.
- A dated copy of the request for an internal appeal that you sent to your insurance company.
- Any additional information you sent to the insurance company; for example, a letter or medical records from your doctor.
- A copy of any letter or form you signed authorizing your doctor or anyone else file an appeal for you.
- Notes and dates from any phone conversations you have with your insurance company or your doctor that relate to your appeal. Include the day, time, name, and title of the person you talked to and details about the conversation.
Incorrect!
As the claimant, you have the burden to prove your claim should be paid. Keep copies of all information related to your claim and the denial; both the information you submit and the responses you receive. If necessary, you can request copies of your entire claim file free of charge from the insurance company. Examples of important records are:
- The Explanation of Benefits forms or letters showing what payment or services were denied, and why.
- A dated copy of the request for an internal appeal that you sent to your insurance company.
- Any additional information you sent to the insurance company; for example, a letter or medical records from your doctor.
- A copy of any letter or form you signed authorizing your doctor or anyone else file an appeal for you.
- Notes and dates from any phone conversations you have with your insurance company or your doctor that relate to your appeal. Include the day, time, name, and title of the person you talked to and details about the conversation.
