General Category > General Questions

Benefits

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Satish:
What are the questions to be ask to check the benefits with insurance company

Sriram_Sub:
To my knowledge...., it would include...

the effective date of the patient's coverage;
type of plan that the member has coverage with;
if you are not in network, you should also verify if the patient has out of network benefits;
if you know the type of treatment that has been planned, you may also mention the same and verify if that would be covered;
coordination of benefits;
copay amount for office visits; etc.

Let me look forward for better answers.

Michele:
also, if authorization or referral is required.

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