Category Archives: Insurance

How Can an Insurance Claims Specialist Help?

Generally, most people have a misconception about their insurance agent. They believe that because they have been paying their annual premiums that the agent is concerned about doing what is right for them. While that may be true for a small number of agents, most agents on the other hand know their loyalty is to the insurance company for which they work.

When the adjuster comes out to examine your damage, he or she wants to save the boss as much money as possible. And that means they will do whatever it takes to minimize the value of your claims.

Of course, you won’t be thinking about all of these issues at the time. You will be worried and stressed because of the accident, the fire, the storm, or whatever may be the cause of your claim. And that is why it is important for you to use an insurance claims specialist.

What Does an Insurance Claims Specialist Do?

Insurance claims specialists work with people like you who need assistance in filing their claims and in handling all of the other responsibilities that may entail. The specialist can come into the picture and help you answer questions from the insurance company and deal with all of the other professionals who will be involved in making you whole again. You won’t have to deal with the phone calls, emails and letters from the insurance company, the contractors, or anyone else. All of that will be handled by your claims specialist. You just work on getting your life back together.

Another important service is that an insurance claims specialist can help you interpret the fine print of your policy. Most of us don’t understand the jargon insurance companies use to explain our coverage, the policy exceptions and other elements. They can step in and help you make sense of all the details so you will be armed with knowledge.

Specific Services from Insurance Claims Specialist

As soon as you need to make an insurance claim, you should call in your specialist. Because you will need to make sure your story is coherent, you can work with the specialist before you start answering questions from your agent. Additionally, if you need a temporary place to live or a rental car or even cash to hold you over until you can begin receiving funds from your policy, your insurance claims specialist can take care of all of these areas for you.

Once your basic needs are taken care of, your specialist will start assessing your damages. He or she will be able to provide a true estimate of what you have lost as a result of the accident, fire, or other destructive event. They can also examine your policy and decide what you can expect to receive based on those damages.

After the wheels of the claims process are set in motion, your representative will work with the professionals on your behalf and will help to negotiate the type of settlement you desire and for the amount you deserve. Remember they will be working for your interest not the insurance company’s.

Derek Rogers is a freelance writer who represents a number of UK businesses. For Loss Assessor Consultants and Insurance Claim Specialists
, he recommends Morgan Clark.

Need an Accident Helpline?

If you have a road accident, which is not your fault, you may think that every accident helpline offers the same level and type of service. This is certainly not true; you need someone like Easigo to make sure that you will not lose out financially. This article looks at the various stages of a typical claims process, and outlines the main advantages of using Easigo’s Accident Helpline rather than someone else’s or your insurers.

If your car has been badly damaged, it will probably be recovered, often by a police appointed garage, if it is causing a traffic obstruction. You will probably be given a lift home. Easigo will confirm that the accident was not your fault, in which case they will deliver a replacement vehicle to your home or place of work. They will also organize for your damaged car to be picked up from the police compound and taken to an approved repairer. A damage report will be prepared, assessing whether it is repairable and also giving a replacement value if it is too badly damaged.

If your car is still roadworthy, Easigo will organize for it to be repaired at an approved garage, at a time which is suitable for you, and they will organize to lend you a replacement, whilst yours is off the road.

Our fully trained accident helpline staff will phone you and collect the information they need to make an accident claim. Because they deal directly with the other party’s insurers, there will be no effect on your no claims bonus, nor will you have to pay any policy excess.

It is strongly recommended, no matter how light your injuries may seem that you seek medical attention. This also serves to officially record the fact you have been in a road accident. It may well be that you require some immediate medical or dental treatment. This will be sorted by our accident helpline staff, using clinics convenient to

If appropriate, we will get your car repaired; until it is ready you will be provided with a replacement. We can also, if preferred, get you cash in lieu of the repair, so that you can opt to fix it yourself, and keep the difference. If your car is not repairable, you will be provided with a replacement until the other party has paid you the agreed replacement value.

Apart from organizing any ongoing specialist treatment, such as physiotherapy, we will organize for a medical report. This will be undertaken by a specialist, at a time and location suitable to you. Their report will be sent to the other party’s insurers, and will form the basis of your accident claim.

Our accident helpline staff only handles road accident claims, so are well able to advise if the compensation offer is acceptable. If we feel it is too low, we will demand for a better offer. It maybe that the specialist consultant has recommended some on-going physiotherapy; if so, this will be sorted. .

At the same time as sorting other aspects of your accident compensation claim, we will recover such costs as lost wages, damaged items and travel costs. Our accident helpline staff can advise you on most aspects of your claim; further help is available from our legal team.

Easigo accident Claims Company will look after every aspect of your car accident claim, from getting you back on the road, to getting you the best medical treatment & compensation for your injuries. All our fees are recovered from the other party’s insurers. This means that you get a 100% compensation, and pay no fees. It also means you do not pay any insurance policy excess, or lose your non claims bonus. Our accident helpline is open every day, and we are always able to help.

Adley Fair is an author of many articles about accident helpline
, and many publications, now successfully working for our company. road accident claim

Pay-As-You-Drive Personal Auto Insurance – Recent Developments

California private auto was changed forever in 1988 with the passage of Proposition 103. Among other things the regulations provided that insurance companies must accept all good drivers (as defined by them) and rate auto on 3 primary factors: Driving Safety, Annual Mileage, and Years Driving (rather than age of driver).

Later some 40 other factors would be accepted onto a list of other permissible secondary factors, though insurance score is not one of them. Territories were abolished in factor of some statistically-built bands relating to accident frequency and other factors. Eventually, even the number and differentials between bands would be narrowed.

The effect of the original regulation and the subsequent changes was to cause or increase subsidies for a variety of policyholders:

  • Drivers with accidents subsidize good drivers
  • Long annual mileage drivers subsidize short annual mileage drivers
  • Urban drivers subsidize rural drivers
  • Nearly everyone subsidizes low experienced male drivers

The existence of these subsidies causes inequities in the marketplace and influences behavior that may not be desirable. For example, if drivers with accidents pay too much overall, this may cause an incentive to under report accidents. Less data is usually not good – the absence of accidents in the database will ultimately raise rates for the next lower level of accident-proneness, as the higher risk drivers seem to belong in the lower accident group based on their statistics.

Other effects of forced subsidies are the introduction of new companies that are specialists in the over-priced segment of the market, increases in the number of drivers in the residual market, and rate increases for truly good risks.

Pay-as-you-drive insurance:

It is the limited number of categories for annual miles driven that catches the attention of regulators and others wanting a more refined rating plan. Number of miles driven seems like a reasonable way to measure exposure and is easily understood by policyholders. Presumably in combination with “where you drive” (territory, that is. Though this isn’t “where you drive”, it’s “where you LIVE”), it would seem to cover a driver’s exposure pretty well (see next section for what research shows).

The new proposed regulation is being touted as a “green” provision, encouraging drivers to drive less by having their insurance coverage apply by mile driven. California Insurance Commissioner Steve Poizner has proposed this optional rating mechanism, allowing insurers to offer a voluntary option for consumers who are interested in pay-as-you-drive coverage.

Consumer groups are opposed, saying that there is not enough protections in the law for protecting the privacy of insured’s everyday activities. Some tracking mechanisms include “OnStar” satellite and GPS-based meters similar to those used in cell phones.

Quoting from the article:

“The Environmental Defense Fund estimates that if 30% of Californians participate in this voluntary coverage, California could avoid 55 million tons of CO2 between 2009 and 2020, which is the equivalent of taking 10 million cars off the road. This would save 5.5 billion gallons of gasoline and save Californians $40 billion dollars in car-related expenses. Additionally, the California Air Resources Board has recommended the adoption of pay as you drive as one of the means to meet future climate change gas reduction targets. “

Hard to ignore potential emissions reductions like these numbers.

b>But the research shows:

The research shows that pay-as-you-drive insurance may not get at the true exposure to auto insurance claims for each insured. For liability coverages, age/gender combination, along with insurance score and geography are the greatest claim level predictors. For property damage coverage, the model of the car takes over as the number on predictor (the others then follow). This information is from a research paper The Relationship of Credit-Based Insurance Scores to Private Passenger Automobile Insurance Loss Propensity, Michael Miller, FCAS and Richard Smith, FCAS, Epic Actuaries, June 2003.

Pros/Cons of Pay-As-You-Drive:
Pros:

  • Exposure for insurance tied to miles driven – easy to understand by drivers
  • The amount you pay for insurance would be directly controlled by the driver, rather than on factors such as sex, age, martial status, etc. that the driver has no control over.
  • The current proposal is for an optional credit, giving low mileage drivers a choice.
  • Reduced emissions

Cons:

  • The amount a driver pays should be as closely tied to his/her exposure to loss as possible, to avoid cross-subsidies and comply with Actuarial Standards and Principles.
  • Tracking mileage is difficult and some methods proposed inspire fear of lack of privacy in some consumers and consumer watchdog groups.

My opinion is that there are better, less complicated ways to refine the rating plan options when it come to annual mileage, and still emphasize lower emissions and “green” policies. One obvious one is to simply increase the number of mileage bands in the current plans and offer “green” discounts (and debits) based on the type of automobile covered. Discounts for Prius’s, debits for Hummers.

Kimberley A. Ward, FCAS, MAAA, FCA – Kimberley serves as Partner at Windsor Strategy Partners and is located at their satellite office in Newark, IL. Prior to joining Windsor Strategy Partners, Kimberley served as Chief Actuary at AAIS.

Kimberley is a Fellow of Casualty Actuarial Society. She is hold memberships in the American Academy of Actuaries, Conference of Consulting Actuaries, Project Management Institute and Association of Insurance Compliance Professionals.

Kimberley’s core expertise includes property-casualty actuarial pricing, reserving, product development, project management, mentoring, strategic planning, education, training and employee development.

See Kimberley’s blog at http://viewivorytower.blogspot.com and her company’s website at http://wspactuaries.com

General Liability Insurance, Variations and Coverage Summary

The current Insurance Services Office (ISO) Commercial General Liability (CGL) Coverage Form is comprehensive in nature. It insures the bodily injury and property damage exposures of commercial ventures. It may be written as a monoline policy or combined with other lines of to form a Commercial Package Policy (CPP). This comprehensive nature of the form eliminates having to select and group individual or specific hazards, with the resulting potential gaps in coverage. Coverage applies to:

Premises liability arising out of the ownership, maintenance or use of the premises;
Products liability for goods and products manufactured, sold or distributed;
Completed operations liability for services provided or work done for others;
Personal injury liability and advertising injury liability of the insured; and
Medical payments coverage.

Each of these coverage’s is subject to certain policy definitions, exclusions and limitations.
The basic CGL coverage form can be tailored with a number and variety of optional forms and endorsements that broaden, delete, restrict, add or modify the form’s basic coverage’s to result in a coverage form specifically designed for the individual insured.

ISO developed two CGL coverage forms for general use;

CG 00 01, is the “occurrence” form. It covers losses where the injury or damage occurs during the covered policy period, regardless of when the company is notified of the loss or claim. The key to this coverage approach is the date of loss or the period of time when the loss occurs.

CG 00 02 is the “claims-made” coverage form. With this form, coverage is triggered by the actual filing date or receipt of the claim, in addition to the date or period of time in which the loss or injury occurs. This form handles any covered loss or claim filed during the policy period, regardless of when the actual loss or injury occurred. This is subject to the retroactive date indicated on the declarations. While the retroactive date can be any date, for complete protection it should be the first date that claims-made coverage was applied to the risk. This is because an occurrence coverage form applies to any loss or damage before that date. Claims-made coverage applies only to covered losses occurring after the retroactive date.

commercial insurance quotes for all business types @ http://www.mcisinc.com

Listed are some of the numerous different companies that write this general liability coverage: AIG, American Safety, Arrowhead, Burlington-Guilford, Century Surety, CNA, CorerX, Evanston, Gemini-Vela, General Star, Golden Bear, Hartford, Lexington, Liberty International, Liberty Surplus, Lloyds of London-SHG, Markel, Maxum, Mt. Hawley, National Environmental, National Liberty & Fire, Nevada Risk, No. American Capacity, OneBeacon, ProBuilders, RLI, Safeco, Scottsdale, Travelers, United National, Western Risk & Zurich.

HARTFORD Wins Long-Term Disability Case Because Claimant Fails to Exh

The case we are going to highlight in this article demonstrates how important it is to hire the right long-term disability attorney. A recent ruling in the Fifth Circuit Court of Appeals in the Southern District of Texas demonstrates that not every attorney knows how to fulfill their responsibility to their clients. Debra Swanson had to learn the hard way when she lost her case against Hartford Life Insurance Company (Hartford).

The story begins in January of 2002. Swanson was approved for long-term disability benefits through the plan her employer provided through Hartford. She was notified on April 4, 2003 that her benefits would be terminated by Hartford because she had been cleared to return to full-time work. In the notification letter, Hartford informed her that she had 180 days to appeal this determination.

Woman seeks a disability attorney. Attorney lets her down.

Swanson immediately sought the assistance of the disability attorney. This attorney sent a letter to Hartford on August 25, 2003. The letter informed Hartford that the disability lawyer was representing her “in her efforts to reinstate her unlawfully terminated disability and health insurance benefits. ” The letter notified Hartford that Debra Swanson intended to appeal Hartford’s decision to terminate her benefits.

Disability attorney asks for information.

The disability attorney requested certain documents from the plan and asked that Hartford notify him of any further deadlines that he needed to comply with. He stated that once he had adequate time to review and supplement the record, that he would notify Hartford to “proceed with Debra Swanson’s administrative appeal under the terms of the plan. “

Disability attorney takes 4 years to file appeal.

The 180 day deadline passed. Having heard nothing further from the disability attorney, Hartford closed the file.

Hartford heard from the same firm again, almost 4 years later, on February 23 2007. The brief that was submitted included evidence of Swanson’s continued disability. Her right to appeal had expired 3-1/2 years before, so Hartford rejected her appeal on April 21, 2007, stating that the 180 day window to appeal had expired.

Disability attorney files suit on client’s behalf.

Swanson’s disability attorney filed a suit in District Court on her behalf. Hartford responded by claiming that she had failed to exhaust her administrative remedies prior to bringing her suit.

Disability attorney’s careless handling of case becomes obvious.

When the case came before the Court, the carelessness of Swanson’s disability attorney became even more apparent. First, Swanson’s attorney failed to submit evidence that refuted Hartford’s claim that Swanson had been approved to return to full-time work. Without such evidence, there was no proof that Swanson even qualified for the disability benefits.

Swanson’s disability insurance attorney claimed that the August 25 letter was an appeal that fell within 180 days of Hartford’s benefits termination notice. Hartford had failed to issue a response within 45 days of receiving that letter so Hartford was in the wrong .

Unfortunately, the Court found that the wording of that August 25 letter clearly indicated an intent to file an appeal at a future time. It was not an appeal in the eyes of the Court. And then, even if the letter could have been considered an appeal, the statute of limitations only extended to 90 days beyond August 25, 2003. It was clear that filing 3 1/2 years later extended far outside the statute of limitations. Swanson’s case was time-barred. As a result, the Court could not hear it.

Hartford wins because claimant fails to file timely appeal.

The deadline for filing an appeal wasn’t met. That simple fact meant Hartford had no obligation to Swanson. A careless and possibly inexperienced disability insurance attorney’s failure to file a timely appeal cost her long-term disability insurance benefits.

We cannot know from the details revealed in the Court’s decision whether Swanson may have had a valid reason for not being able to file her appeal in a timely manner. We see no evidence that her attorney sought to apply the principle of equitable tolling, which would have been the only answer to filing a claim so far outside of the statute of limitations.

We don’t want you to find yourself in a similar situation. Shop very carefully for your disability insurance attorney. The disability lawyer you hire should have experience and a demonstrated ability to follow through on behalf of his or her disabled clients. Who you hire could make the difference between securing your rightful long-term disability insurance benefits and losing your rights.

About the author: Gregory Michael Dell is a disability attorney and managing partner of the disability income division of Attorneys Dell & Schaefer. Mr. Dell and his team of disability attorneys have assisted thousands of long-term disability claimants with their claims against every major disability insurance company. You can visit www.diAttorney.com for a free consultation, FAQ, videos and resolved cases archive.

Can You Not Collect Or Can You Waive Patients Copay? All About Copays

There are so many reasons why you should not waive copays or copayments. If you are contracted with the insurance company, you are bound to follow what is in your contract with them. A patient’s copay is due at the time of service! You must collect your patient’s copay!

Let me tell you why you should not waive copays!

  • Your contract says you collect copay at the time of service!;
  • Your patient knows they have to pay their copay based on what their policy says (it’s absolutely false that they do not know they have a copay!);
  • Your are actually losing money in your practice if you do so!
  • What is a copayment? It’s a part responsibility of the patient’s based on their policy and coverage. Mostly, their copays are applied towards their annual out of pocket amount for family, single or individual.   And it is always due at the time of service (the time they came in to your office). Copay for Primary Care Physician and for Specialist Office may differ too!

    So why do you think you should not waive a copay? – let’s take a look at this way:

    Assuming the insurance payor allows $58.00 for an Evaluation and Management – E/M Code and you waive a copay of $20.00, you only get reimbursed at $38.00 because the $20.00 was applied towards the patient’s copay.

    So why waive the copay when it is an actual additional revenue to your daily cash flow, is it not?

    Here are some scenarios of problem collecting copays and what you should do to deal with these:

  • The Patient has a Secondary Insurance and would like you to submit his/her claim to the secondary insurance after the primary insurance pays for the claim – what you should do; explain to the patient that their copay is due at the time of service regardless if they have a secondary insurance! Most of my patients would even send claims to their secondary to pick up for their copays. The key here, educate them!
  • The Patient always “forgets his/her checkbook” – give the patient one chance! Again, explain to them their copay is always due at the time of service. Hand them a self-addressed envelope and let them mail a check as soon as they get home. Or know your area, I’m sure there is a bank or an ATM Machine nearby, you can let the patient go the nearest  ATM and withdraw money. Or for their convenience too, if they have credit cards – your practice should be able to accept major credit cards.
  •  Helpful ideas too, post in your waiting room and at the window that says “Your Copay is Due at the Time of Service”,   “You Must Pay Your Copay Before You Can Be Seen”.

    And here is your last course, it is alright too to refuse to see the patient if they do not pay their copay. Maybe on the 3rd visit, if obviously the patient have been deliberately “forgetting” his/her check – inform them when you make the confirmation before their appointment that they can not be seen if they do not pay their copay balance.

    I don’t think you can purchase any material thing that you use them first before you pay for it. Realistically,   why render the service before the patient pays their copay? A private physician practice is not running a charity program or else you will go out of business. Just my one cent  idea.

    The Author is a Professional Medical Practice Billing & Coding Consultant. She has extensive knowledge and skill in the area of Pain Management, Physical Medicine & Rehabilitation, Anesthesiology, OB GYN, Physical Therapy and Dermatology. Read more about the author as she share her knowledge and expertise in her field by visiting her personal website at http://www.justmypassion.com and her blog at http://justmypassion.blogspot.com

    Insurance Score – What it Is, How it Affects Your Auto Insurance Rate

    Do you know what your insurance score is? Do you know what affects it? Do you know how it’s used to determine what you pay as rates? Do you know how to adjust it to your advantage? This article will help you with all these questions. . .

    First let’s define the term. . .

    According to the Insurance Information Institute it is “a numerical ranking based on a person’s credit history. ” Studies have shown a correlation between the way a person manages his/her finance and their likelihood of filing a claim.

    Those who have poor scores are statistically more likely to file claims. Therefore, this makes it rather clear that the better a person insurance score is, then the cheaper their rates will be all other things being equal.

    Furthermore, since this score is based solely on a person’s credit history, it goes to say that to get a better score, one needs to take steps to improve his/her credit rating.

    Steps to improve your credit rating. . .

    1. Pay your bills on time. Never miss payments. These will affect your credit rating negatively. That’s apart from the facts that you’ll have to pay more as interest and that your creditor might be compelled to increase your interest rates due to the risk involved in lending to you.

    2. Check your credit report yearly and make sure you correct any errors you find.

    3. As much as possible, use only a few credit cards.

    4. Make sure you do NOT use more than 30% of your available credit at any point in time.

    So what else can you do to get cheaper insurance rates?

    Much as most (If not all) insurers use your insurance score to determine your rate, they do NOT all give it the same relevancy score. Remember, there are many other factors that are used to determine a prospect’s risk or otherwise to an insurer.

    Furthermore, different insurers target different markets and as well have different loss histories among other things. This simply means that you’ll get different quotes from different insurers.

    Therefore, to get the best rate quote, make sure you get and compare quotes from a wide range of reputable insurers.

    Here are great pages for auto insurance quotes.

    InsureMe Auto Insurance Quotes

    Auto Insurance Quotes

    Chimezirim Odimba writes on insurance.

    Why Would You Need Compulsory Insurance?

    Almost every state has a law against using a vehicle on the road with no auto insurance. These compulsory insurance laws were passed to protect everyone in the case of injuries and property loss after a car accident. When an accident occurs, this type of insurance covers the expenses created by personal injury or property damage. Failure to purchase insurance can result in large fines, loss of license and even jail time.

    Where required by law, this compulsory insurance, also known as liability insurance usually has minimum coverage limits. These limits are set to ensure that at lease most medical and property damages will be covered if the insured driver causes an accident.

    These minimum coverage amounts vary depending on which state you live and drive in. If you are deemed to be at fault for an accident, the medical bills, property damages and other financial losses for the other driver will be covered.

    Most states additionally require coverage for any property damage caused by your vehicle. Minimum coverage amounts also vary from state to state so ask your agent what the coverage amounts are for your area.

    Keep in mind that you will be responsible for any amounts that are more than your coverage will pay and you were at fault for the accident, your injuries and damage to your vehicle may not be covered.

    Purchasing insurance that offers more than the minimum amount of coverage is a good idea. This will protect you from the accident damage being greater than the amount of compensation you will receive. Your policy will determine the coverage amounts and circumstances under which the damages will be paid.

    Glass breakage, fire and theft not due to an accident will require a specific type of coverage usually known as comprehensive coverage.

    These types of coverage can be purchased through most insurance companies directly or through an agent. You might pay slightly less by buying directly from the company. An agent will be able to tailor your coverage better to your needs and will also help when an accident occurs by dealing with the details of your policy with the insurance company.

    Learn more about compulsory insurance

    Assurity Life Insurance Company Review

    Most people think that Assurity Life Insurance Company is one of the newer companies founded in the United States. Those people however, are completely wrong because what they don’t know is that this company has been helping people like them for over one hundred years! It was in the year 1997 that Assurity was presented as the subsidiary of Woodmen Accident and Life Company (a firm that was established in Lincoln, Nebraska in the year 1890. These two companies acted together until the year 2001 when another “old” company was brought to their ranks.

    It was this year that Lincoln Direct Life Insurance Company (founded in the year 1896) joined the other two and the company became known as Assurity Life Insurance Company. Instead of staying stable the company continued is upward momentum and in the year 2005, Security Financial Life Insurance Company (founded in the year 1895) joined Assurity to establish Assurity Security Group Incorporated. It was not until the year 2007 that the two companies completely merged and continued with the name Assurity Life Insurance Company.

    Accidents and early deaths are part of every culture. In this country people die everyday and since nobody knows when judgment day is to come; one must be prevented at all times. For this reason the insurance industry has increased drastically in the last couple of years. More and more Americans have turned their attention this business and have started looking around for the best life insurance company possible.

    Assurity Life Insurance has continued to grow and it is focused on individuals, families and small businesses. They strive to provide them with excellent services, customer service experiences and flexible policies. The company prides itself in two important achievements they have made in recent years: they received one of the highest rates for life insurance companies by the well known rating company A. M. Best, and they have expanded so much that they just now passed the goal of over $2 billion in assets. With demand for products that will help customers in the late run, Assurity has also expanded to offering other services and not just life insurance policies. The company has started to also offer long term care for people of age that cannot pay for their healthcare, disability income for people who become disabled and cannot pay bills, critical illness and annuities.

    In the life insurance portion of the company, Assurity prides itself in offering three types of life insurance policies that are very well received by the public. Perhaps the most famous life policy in their ranks is the Term Life. Term life insurance has distinguished itself from the other two, in that it is not permanent. In other words, a policy holder is only covered for the amount of time specified in the policy. It is important to note that at the moment of purchase a policy holder will have to choose the amount of time he wants to be covered (ten, twenty, or even thirty years) and the amount of life insurance they want to purchase (examples of these are $200,000 and $250,000). Because this type of life insurance policy shapes to what the policy holder needs at the time, it is very liked by customers trying to buy life insurance. This policy is also good for the people that want to pay the lowest premiums, because since the policy is temporary; the premiums wont be as high.

    The second type of life insurance policy offered by Assurity is that of Whole Life. This insurance is not temporary, but instead a policy holder is covered through their entire life. Perhaps the best thing about this type of life insurance policy is that it allows your beneficiary to have tax-free money because the amount given to him or her will not be taxed. Keep in mind that this type of insurance also works for small businesses.

    Last but not least Assurity allows its customers to purchase what they call Universal Life. Just like Whole Life, this type of insurance is permanent. This means that Universal Life is also for the entire life of the person being insured. The best thing about this insurance policy is that you can make changes to it as time goes by. If you see that your family is getting bigger, that your income increases or that you won’t need as much life insurance as you though you would need; you will be able to make changes to the main things in your policy. Universal Life Insurance by Assurity is what the company thinks is the most dynamic choice for customers. Not only can you change your policy at any time, but your death benefit is also tax-free and you can change premium amounts and the timing of your payments making it easier to manage.

    As you can see Assurity Life Insurance Company has come to be a well respected company in the insurance industry. They promote their products knowing that they are designed to bring people the unique services that they are looking for at a lower cost than other insurance companies. It is easy to predict that the company will only become more well-known because the demand for life insurance is increasing and people are becoming aware of the benefits life coverage can bring to them.

    Of course, Assurity is just one of many different choices that you may want to consider in your search for the best life insurance so be sure and compare quotes from many different companies to find which one is best for you. Get started finding and comparing life insurance companies today!

    E&M Medical Necessity

    E&M medical necessity denials, what can that mean?

    On the surface, what could not be right about an E&M code?

    A lot of the rejections come from an office visit and another procedure performed on the same day. In many of the practices where we take over the medical billing, the physicians have lost money by not following the right protocols and/or not challenging the EOB. If the visit results in the second procedure, there is a modifier that is supposed (tongue in cheek) to tell the insurance company that this is a separately identifiable service and both services are to be paid. That being said, it does not mean you will get paid. Other denials often come from “we do not pay for two of these on the same day”. It is important for the front office to ask if the patient has seen another physician on this same date. If so, unless it is emergent care, find out the policy of the patient’s insurance company before seeing the patient. Otherwise you may just be giving away your services. The point here is to one; do your homework, and two; don’t simply take the EOB at its face value, challenge it! Most physicians do not and the insurance companies love them because the insurance company gets to keep more of the physician’s money in the process.

    I have been told that every time an insurance company touches a claim, it costs them $150.00. Now just imagine for a moment if every time a physician got a rejected claim each and every physician challenged that claim, what do you think would happen? If you answered fewer rejected claims go to the head of the class! So don’t just take their word for it, challenge it.

    When the Correct Coding Initiative (CCI) was implemented, we were assured that everyone would have to abide by the same rules. The reality is significantly different.

    Lately, Blue Cross of Georgia has changed its review policy. In the past for a pediatric patient that presented for a sick visit and needed a well check visit, we could bill both and get them paid. BC of GA now says they are using Anthem BCBS edit rules and will reject one or the other, and the rejection usually depends on which of the claims pays the most. We are still in the process of sorting it out but the physicians are looking at the contracts to see what recourse is available.

    The sad part is that once again, it is the physician who must jump through all the hoops, follow all the rules and then not get paid.

    The Wynn Group, Inc was founded by Nat Wynn in 1996 dedicated to helping physicians with medical billing and practice management by allowing them to focus on their patient while The Wynn Group focused on making sure each and every claim got paid. Visit us here
    .