How are claims paid?
CMS(previously HCFA) contracts with private insurance companies in the states to process claims and make Medicare payments. These insurance companies are known as intermediaries and carriers. Hospital charges for Medicare beneficiaries are billed by the hospital to the intermediary that pays them. Intermediaries handle claims for Part A services. Doctors and other suppliers of medical services covered under Part B submit charges directly to a Medicare carrier by “taking assignment.” Carriers handle claims for Part B services. The doctor or supplier will receive the portion of the bill paid by Medicare and will bill a beneficiary only for the $100 deductible, and if applicable, a 20% copayment. Doctors and other suppliers who take assignment may not charge more than the amount allowed by the Medicare fee schedule. Even if the doctor does not take assignment, he or she must send the claim to the Medicare carrier for the beneficiary.
LowRate.com lets you use the repair facility of your choice (dealer, national chain, local mechanic) and pays your claim quickly and efficiently electronically over the phone. You simply pay your deductible (if any). There is no paperwork, no need to lay out any money and no limit on the number of claims you may have. We cover parts, labor and even sales tax, if applicable. We are dedicated to handling claims, we are proud that we process claims faster than anyone else in the industry. We pay claims to repair facilities across the country, call us to look up yours.
The claims process is similar to the process in the U.S. After you file the claim, all the relevant information will be gathered and the amount of the loss will be determined. If the vehicle needs to be repaired, a repair shop will be chosen and the repairs will begin. If the vehicle is a total loss, the company will value the vehicle according to pricing guides like the Kelley Blue Book and Nada Guide. Claims must be filed in Mexico before returning to the U.S. Call the number on the face of your policy.
Filing a claim is simple. After you obtain a claim form from this web site, complete the employee portion and your dentist should complete the rest. Either you or your dentist can submit it to MetLife for processing. You will receive an Explanation of Benefits (EOB) statement showing charges and payments. Benefits will be paid to you unless you have assigned payment to your dentist.
