What do I do if insurance reimbursement is taking a long time?

Dealing with insurance delays is common. The plan is often more eager to issue a paper that says you will be reimbursed than they are in making the payments. Alternatively, it could simply be an ongoing error because the computer isn’t “reading” the submission correctly.

If your claims contain the authorization document and the auth number written on the superbill and are still denied, ask for expedited claim plan reprocessing.

A peer-to-peer meeting is when the health plan medical reviewer speaks to the provider about an authorization or denial. If peer to peer doesn’t correct the problem, then in the back of the Explanation of Benefits (EBO) there will be information about who to contact for a second level appeal.

For more information, see our full article about insurance claims and appeals.