Methodology

Tools and Techniques

• After hours calls and contacts
• Legal letters
• Pt “leave behind” information
• Identify correct forms and format required by specific insurers
• Frequency/intensity of follow up attempts
• Face-to-face meetings
• Home Visits

Patient contact and communication

· Re-confirm and verify demographic, contact and insurance information

· Interview patient as to circumstances and facts surrounding injury, illness and treatment

· Execute Authorized Representative form

· Execute NFAOB (for no-fault)

· Identify and complete any special forms required by insurer

· Cooperate in filing late payment claim with appropriate administrative agency

· Contact benefits coordinator at Employer (if sponsored plan)

· Is the patient continuing to receive treatment for the same injury/illness?

· Prepare letter for patient’s signature-providing additional documentation and/or information

· Keep the patient fully informed throughout the process

· Assist in contacting other providers for information or documentation