I got a form from my insurance company (Anthem Blue Cross Blue Shield) saying that they are reviewing my claim from 7/2/07 (that was my first visit with my LLMD) to determine if the services I received were a result of an accident in which another party may be responsible for payment.
They are basically asking if my claim is because of a work or non-work related accident.
They give me 7 choices: 1. This injury happened at home or at school. 2. This injury was due to a recreational sports activity. 3. This is a medical condition or age related condition that is not work or accident related. 4. This condition is due to a childhood or previous (longer than 3 years) injury. 5. I am not pursuing a claim against any other party regarding my injury due to a trip & fall, assault, or animal bite. 6. The patient is deceased. There is no known accidental injury. 7. Other. Please explain.
I'm afraid of responding to this. The form itself states that the claim has already been paid, but that doesn't make me feel any better.
Any suggestions on how to handle this?
Thanks. hatpianka
Posted by roro (Member # 13383) on :
its number three, a medical illness. i don't see how lyme disease could possibly be any of the other ones, unless you had an accident afterwards that caused a back injury or something
Posted by CaliforniaLyme (Member # 7136) on :
Seems like 3 to me too*)!!!
Posted by ldfighter (Member # 9405) on :
There's usually a box on the initial claim form that asks if the illness is work or accident-related or not, maybe it wasn't checked off (or they didn't see it) and this is automatic follow-up, nothing to worry about? I'd just check 3 too.
Posted by Aniek (Member # 5374) on :
This is a common inquiry from an insurance company to determine if the claim is the responsibility of another insurance, like workers compensation, homeowners insurance, auto insurance, etc.
It usually is sent out when a diagnosis could be an injury. I've gotten similar forms when I sprained my ankle and when I've had spinal MRIs.
Posted by lymednva (Member # 9098) on :
I agree with the others. Sometimes insurance companies will randomly select claims to followup on. I've had them do that, but no problems resulting from them.
Posted by valymemom (Member # 7076) on :
This has often happened to us.
#3 and if you can just phone it in.
Posted by hatpianka (Member # 12244) on :
Thanks, everyone.
This puts my mind at ease. It also puts my husband's mind at ease
I haven't had any problems with insurance coverage, so I guess I was just bracing myself for trouble! No worries yet...
Posted by davidx (Member # 8326) on :
I've gotten similar forms a number of times over the years. I just called in each time and said it wasn't work/accident related and that was basically it!
![[Big Grin]](biggrin.gif)