Claims submission
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A claims shows submitted on Simple practice but the insurance company does not have record of it. What do I do?

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    Mike

    Hi Fatima,

    We'll need to open a case with our clearinghouse to investigate this issue. In order to do that, we'll also need some additional information from you.

    First we'll need the secure claim URL to identify the claim in question. This is the address in your web browser's address bar when you are viewing the claim.

    Although I believe that you have already called the payer, can you please call the payer one more time (make sure to speak with a live representative) and give them the member ID and the dates of service listed on the claim in question? Because the claim has been submitted this information should be sufficient for them to locate the claim within their system and provide you with more information about its current status.

    If the payer is still unable to locate the claim, then it will be very important to obtain the following information:

    The phone number you call.
    The name of the representative you speak with.
    The call reference number.

    This information will enable our clearinghouse to call the payer directly about this claim and investigate further. Without this information, our clearinghouse will not be able to take further action.

    Once we receive that information, my colleagues on our Insurance Team will be able to investigate.

    I will reach out by email and you can provide the information about the phone call there.

    Hi Fatima,

    We'll need to open a case with our clearinghouse to investigate this issue. In order to do that, we'll also need some additional information from you.

    First we'll need the secure claim URL to identify the claim in question. This is the address in your web browser's address bar when you are viewing the claim.

    Although I believe that you have already called the payer, can you please call the payer one more time (make sure to speak with a live representative) and give them the member ID and the dates of service listed on the claim in question? Because the claim has been submitted this information should be sufficient for them to locate the claim within their system and provide you with more information about its current status.

    If the payer is still unable to locate the claim, then it will be very important to obtain the following information:

    The phone number you call.
    The name of the representative you speak with.
    The call reference number.

    This information will enable our clearinghouse to call the payer directly about this claim and investigate further. Without this information, our clearinghouse will not be able to take further action.

    Once we receive that information, my colleagues on our Insurance Team will be able to investigate.

    I will reach out by email and you can provide the information about the phone call there.