The policyholder (patient) or family member should contact their insurance carrier to discuss eligibility to receive benefits.
You may assign a family member or advisor as your primary claim representative (your contact person). In that case, that person assumes full responsibility for the claimant and shall be the health care power of attorney or health care proxy.
Before calling your Benefit Intake Specialist (BIS), gather the information about your policy. Have your *Certificate of coverage, date of birth, Social Security #, address for care (your address), and Doctor's statement (if you have one) on hand when you call your insurance company.
After your BIS reviews your policy, an Initial Claim Packet (ICP) is sent to you for your review. Complete the requested information, if any, and sign. The ICP includes information about your coverage, such as the elimination period, the maximum reimbursement for a day and month, lifetime benefits, and other pertinent information.