Sylvia Baker Insurance Case Study

Words: 420
Pages: 2

There are a lot of steps that Lewis could take to check Baker's insurance, but according to the book the best steps Lewis could take to check Sylvia Baker's insurance are: First check his health insurance as health care provider. The way to do this is to make sure that his information is up to date, have his basic information for example: his name, his date of birth, the name of the primary insured, I mean the mother or father, Social Security number, the correct name and contact information of the insurance provider, as well as its insurance number, contains specific records. It is important for him to make sure these information are correct without that he will not be able to verify Sylvia Baker's insurance. Secondly, Lewis must make copies …show more content…
Finally, Lewis needs to clarify the benefit options with the insurance company because you never know if Sylvia Baker will love having a share or having a type of services that are covered for her. And he must make sure that his patient understands everything and clarify everything with the insurance company.
If the codes, the quantities and the modifiers were correct on the CMS-1500 for Mark
Flannery and the claim for his care has been dismissed. For Lewis Jordan handle this call he has to apologize and show empathy to him, sometimes the patient is waiting for you to ask them what you can do to solve the problem they want to hear that even if you know you cannot do anything, let them know if you can do something right the way or later, it is good to communicate what you can do to solve the problem that helps you manage the expectations of the angry patient. Let Mr. Flanner speak with no interruption, but if you feel he's blaspheming or shouting at you, let him know you understand the situation and want to help him the way you can, but stop shouting or profaning, be patient and slow down and rephrase if he does not understand something, it is really important to not insult or speak over the patient, if