What Are the Most Common Reasons for Requesting Information?
1. To determine if the patient has other health coverage. If a patient is covered under two health plans, Benesight must determine which plan is the primary payer. This information is usually requested only once or twice a year. 2. To obtain accident information. Some plans provide higher benefits for accident claims, and some injuries (such as workers’ compensation claims) may not be covered under the health plan. To determine the benefits available, we need to know when and how the accident occurred. 3. To determine Student Status. Most plans cover unmarried, full-time college students. Benesight must have documentation showing that a child is a full-time student during each college quarter or semester for which a claim is incurred. Back to top Why Was my Claim Denied for Services that my Doctor Suggested I Should Receive? Some services are excluded from your Plan. For specific items, please refer to the exclusions listed in your summary plan description. Covered services under the p
