U65 FMO Health Marketing Release: 5/8/2023 | View as Webpage

FMO Update:

Avoiding Claim Delays & Service Improvements

2022 Claims Processed¹

Did you know?

Our U65 claims department processes on average 47,400 claims every month! That’s nearly 2,370 claims per business day!

¹Includes Hospital Indemnity, Critical Illness, Specified Disease and 24-Hour Enhanced Accident plans only.

Top Three Reasons for Claim Delays

The claim is missing key information or documents needed for processing

We're waiting on records for a pre-existing condition investigation

Client received services when the policy was not current (when the policy has not yet lapsed but is not current; common for list bill groups)

Don't Let a Claim Delay Happen to Your Client

Handy Member Guide to Cash-Pay Claims

Your client shopped around for the best cash-pay price. Now what?!

To ensure all goes smoothly at claim time, take a peek at our handy guide for tips on submitting cash-pay claims.

What's Covered in the Guide

Steps for paying cash at the provider’s office
What to include when submitting cash-pay claims
Itemized Medical Bill Invoice / Superbill Checklist
Prescription Summary Receipt Checklist
Where to submit claims
What to expect after submitting claims

Get the Guide

Weekly Claims Email Updates to Begin This Week

To keep you more informed about your clients' claim statuses, we're implementing auto email updates for FMOs and agents!

The First Weekly Update to Begin This Week for FMOs

This week, we'll begin sending FMOs a weekly list of your agents' clients who have a claim, with potential benefits of $25K or higher, that is paused for processing due to pending requirements.

We ask that you share this information with your agents until we are able to begin notifying them directly. We estimate that this will be completed mid-May.

You do not need to reach out to insureds listed within your email update. We'll be following up with insureds on a weekly basis until the claim is resolved and processed.

More Auto Email Updates to Come for An Improved Customer Service Experience

This is just a start! We're in the process of adding more email updates on claim statuses to keep you in the know and improve our customer/agent experience overall!

We Welcome Your Feedback

As always, we welcome your valued feedback. Simply respond to this email if there is anything you would like to share with us.

WEBSITE

www.neweralife.com

MARKETING & AGENT SERVICES

marketingU65@neweralife.com