posted
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
Posts: 97 | From Clinton, CT | Registered: Jun 2007
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posted
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
Posts: 615 | From maryland | Registered: Oct 2007
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CaliforniaLyme
Frequent Contributor (5K+ posts)
Member # 7136
posted
Seems like 3 to me too*)!!!
-------------------- There is no wealth but life. -John Ruskin
All truth goes through 3 stages: first it is ridiculed: then it is violently opposed: finally it is accepted as self evident. - Schopenhauer Posts: 5639 | From Aptos CA USA | Registered: Apr 2005
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posted
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.
Posts: 621 | From US | Registered: Jun 2006
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Aniek
Frequent Contributor (1K+ posts)
Member # 5374
posted
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.
-------------------- "When there is pain, there are no words." - Toni Morrison Posts: 4711 | From Washington, DC | Registered: Mar 2004
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lymednva
Frequent Contributor (1K+ posts)
Member # 9098
posted
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.
-------------------- Lymednva Posts: 2407 | From over the river and through the woods | Registered: Apr 2006
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valymemom
Frequent Contributor (1K+ posts)
Member # 7076
posted
This has often happened to us.
#3 and if you can just phone it in.
Posts: 1240 | From Centreville,VA | Registered: Mar 2005
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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...
Posts: 97 | From Clinton, CT | Registered: Jun 2007
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posted
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!
-------------------- Same nightmare, different day! Posts: 401 | From East Coast | Registered: Nov 2005
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