Guide To Calling Health Insurance Regarding Medical Benefits Form - Watkins Health Services
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You will need to gather the following information prior to calling your insurance company:
Information about you:
1.
Your Social Security number.
2.
From your insurance card:
• Policy number or member ID: ____________________________________________________________
• Member/Customer Service phone number: __________________________________________________
Information about Watkins Health Services:
1. Facility NPI Number: 1942357413
2. Federal Tax ID Number: 481046038
3. Facility address: 1200 Schwegler Dr. Lawrence KS 66045
Description of procedure or service:
_________________________________________________________________________________
_________________________________________________________________________________
Medical billing codes for procedure or service:
__________________________________________________________________________________________
__________________________________________________________________________________
Prior to speaking with Customer Service, you will enter basic information about yourself and your plan into an automated system.
When prompted, select medical benefits as the reason for your call. Once you’re connected with Customer Service, ask the follow-
ing questions. Be sure to write down the answers:
1. Representative or customer service agent’s name: _____________________________________________
2. Is the service/procedure a covered benefit? __________________________________________________
__________________________________________________________________________________
3. Is the service/procedure considered preventative? _____________________________________________
4. Does a co-pay apply? __________________________________________________________________
5. Does a deductible apply? _______________________________________________________________
6. If so, how much is your deductible and how much of the deductible has been met? _____________________
7. Is Watkins Health Services considered in-network? ____________________________________________
8. Is this a covered service/procedure if performed at Watkins Health Services? _________________________
9. Ask for a Reference Number for your call: ___________________________________________________
10. Date and time of your call: ______________________________________________________________
11. Additional notes: _____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
If questions remain after contacting your insurance company, bring this completed form to Watkins Health Services
Business Office for assistance.
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Parent category: Legal