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Ask Our Specialists
Insurance claim is not being processed Hi, I had Atlas America Health insurance. I visited a Urgent care center on 5/22/2014. As I am not aware that i have to send a pre-auth form after the treatment date and i didn't receive any email asking about it from the insurance company, i didn't send the pre-auth form immediately to the insurance company. The insurance company has closed the claim stating the same reason after 3 months. After i learnt the reason from the hospital, i have sent the pre-auth form to the insurance company multiple times and i have also received the confirmation from them through email. I have called the company thrice to request them to reopen the claim. They have said that they are going to put a request and my claim will be reopened in 3-4 days. But every time I call them they say the same old story that it has not been reopened and they will reopen it in 3-4 days. Despite my continuous efforts, the claim has never been reopened and i had to pay the amount to the hospital. Please let me know what is it that i could do to make it processed. Thanks, Vinay
Thank you for contacting us. I am sorry to hear that you are having difficulties with your claim. You have also sent us an email separately. I have contacted the insurance company to look into this matter. As soon as they get back to me, I will let you know.
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DISCLAIMER: Information presented in our Questions and Answers section is generic and was deemed to be accurate at the time of response. Please use the answers as a guide and do not make decisions based on the answers. The answers presented may be outdated and altogether inaccurate currently or not relevant as the details provided such as the insurance terms and conditions, plan benefits, eligibility and coverage may have changed. Insubuy assumes no responsibility for relying on such answers. You should review the latest certificate wording of the insurance policy (available on this website) for the product you are considering for the latest and complete details. If there is any conflict between the answers provided here and the certificate wording, the details of the certificate wording will prevail.
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