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A Provider or Pharmacy Calls and My Insurance Company Tells Them I Am “Not In the System” or That My “Coverage Has Been Terminated”. What Do I Do?

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A Provider or Pharmacy Calls and My Insurance Company Tells Them I Am “Not In the System” or That My “Coverage Has Been Terminated”. What Do I Do?

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Remain calm – this is just an administrative error and it can be corrected within 1-2 business days. Rest assured that if you are signed up for coverage through your employer and are paying for benefits, then you DEFINITELY HAVE coverage. Administrative errors happen in all businesses and it is easy to correct. A copy of your enrollment form, if available, should serve as temporary proof of coverage. Simply check with your Human Resource Department and ask them to make sure you are enrolled correctly in the system. As soon as the administrative error is corrected, you can call the insurance company and have your claims reprocessed with no problem!

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