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We’ve all done it before: sat in a doctor’s office and filled out form after form with our insurance information. Ever wonder why they need all that info? Well, your doctor’s office needs it so that they can file a claim with us.
What is a health insurance claim? A claim is simply a bill that your doctor or other health care provider will send to an health insurance company (such as Blue Cross and Blue Shield of Illinois) for payment after they have treated you. In most cases, your provider’s office will submit the claim for you so you don’t have to worry about it. But there are some instances when you may have to file the claim yourself, such as when you get care from an out-of-network provider. Which brings us to the next question: How do you file a health insurance claim?How to Submit a ClaimIf you do have to file a claim, here’s what you need to do:
Check the Status of a ClaimThere are a couple ways you can check the status of your claim:
Blue Access for MembersPlease note that the claim will not show up in Blue Access for Members until it is processed. There are 2 types of claims statuses that you will see within Blue Access for Members:
You can also sign up for text/email alerts to notify you when the status of your claim changes. All you have to do is:
Explanation of Benefits (EOB) StatementOnce your claim has been processed by us, you will receive an EOB, either by mail or email. This document will break down:
If your claim has been denied, you can file an appeal to have it looked at again. The appeals information is located with your EOB. Still have questions? Ask us in the comments!
Pratik94, so glad you found this information helpful. We are unable to provide information about the products that are available from the Bajaj Allianz General Insurance Company. We only have information about our own policies. If you have questions about their company or available policies we encourage you to reach out to them directly. -- Krysta
Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
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