Get Geisinger Health Plan Request For Claim Reconsideration 2020-2025
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How to fill out the Geisinger Health Plan Request for Claim Reconsideration online
Filing a claim reconsideration can seem daunting, but with the right guidance, you can navigate the process with confidence. This comprehensive guide will help you understand each section of the Geisinger Health Plan Request for Claim Reconsideration form and provide step-by-step instructions for completing it online.
Follow the steps to successfully complete your claim reconsideration request.
- Press the ‘Get Form’ button to access the form and open it in your chosen online editing platform.
- Begin filling in the 'Provider name' section, entering the name of the healthcare provider associated with the claim.
- Enter the 'Date prepared' in the appropriate format, ensuring the date is current and accurately reflects when the form is completed.
- Fill in the 'Tax ID' of the provider, which is necessary for identification and processing of the claim.
- Next, input the name of the person completing the form in the 'Person completing form' field.
- Provide the 'Provider NPI #' (National Provider Identifier) to further authenticate the claimant.
- Include a contact 'Telephone' number where the provider can be reached for any follow-up regarding the claim.
- In the 'Member name' field, enter the name of the member whose claim is being reconsidered.
- Specify the 'Claim #' associated with the claim you are disputing, ensuring it matches the documentation.
- Indicate the 'DOS' (Date of Service) relevant to the claim.
- Fill in the 'Member Health Plan ID#' for identification purposes.
- Provide the 'Patient account #' if applicable, to assist in processing.
- Include the 'DOB' (Date of Birth) of the member for verification.
- Under the 'Reason for consideration', select the appropriate option and attach any necessary documentation as indicated.
- Choose the 'Type of plan;' select one from the list provided that corresponds to the member’s plan.
- Use the 'Provider comments' section to include any additional information that may support the reconsideration request.
- Finally, review all your entries for accuracy, save any changes, and prepare to submit the form.
- Print or download a copy for your records, and follow the mailing instructions to send the form to the Claims Department at Geisinger Health Plan.
Complete your Geisinger Health Plan Request for Claim Reconsideration online today and ensure your concerns are addressed properly.
Health First claims typically require submissions within 180 days from the date of service. Understanding the timeframe for Health First claims can help you ensure your submissions are timely. Always check the specific guidelines related to the claims you are filing. If you have difficulties with the Geisinger Health Plan Request for Claim Reconsideration, consulting resources such as uslegalforms can offer clarity on filing procedures.
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