<?xml-stylesheet type="text/xsl" href="https://connect.bcbstx.com/cfs-file/__key/system/syndication/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/"><channel><title>What Is a Health Insurance Claim?</title><link>/understanding-benefits/b/weblog/posts/claims-everything-you-need-to-know</link><description>We&amp;rsquo;ve all done it. Shown or uploaded our member ID card when filling out insurance forms in the doctor&amp;rsquo;s office or through an online portal. Your doctor&amp;rsquo;s office needs these details so they can file a claim.
A claim is a bill your d...</description><dc:language>en-US</dc:language><generator>Telligent Community 12</generator><item><title>RE: What Is a Health Insurance Claim?</title><link>https://connect.bcbstx.com/understanding-benefits/b/weblog/posts/claims-everything-you-need-to-know</link><pubDate>Wed, 15 Mar 2023 07:05:08 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:16268d7d-49fb-4157-8546-75979fc2913d</guid><dc:creator>Michelle Mendoza </dc:creator><slash:comments>1</slash:comments><description>&lt;p&gt;How do i get a member ID card and member number&amp;nbsp;&lt;/p&gt;&lt;img src="https://connect.bcbstx.com/aggbug?PostID=124&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description></item><item><title>RE: What Is a Health Insurance Claim?</title><link>https://connect.bcbstx.com/understanding-benefits/b/weblog/posts/claims-everything-you-need-to-know</link><pubDate>Tue, 06 Apr 2021 04:53:48 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:16268d7d-49fb-4157-8546-75979fc2913d</guid><dc:creator>Rlew</dc:creator><slash:comments>0</slash:comments><description>&lt;p&gt;What is &amp;ldquo;special processing&amp;rdquo;&lt;/p&gt;&lt;img src="https://connect.bcbstx.com/aggbug?PostID=124&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description></item><item><title>RE: What Is a Health Insurance Claim?</title><link>https://connect.bcbstx.com/understanding-benefits/b/weblog/posts/claims-everything-you-need-to-know</link><pubDate>Fri, 12 Feb 2021 16:27:50 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:16268d7d-49fb-4157-8546-75979fc2913d</guid><dc:creator>NCarp2021</dc:creator><slash:comments>0</slash:comments><description>&lt;p&gt;Hello,&lt;/p&gt;
&lt;p&gt;How would you advise if a hospital billing department fails to file the claim in a timely manner, please? &amp;nbsp; We are told the billing Dept was waiting for the first insurance provider to finalize their portion first before billing the other insurance provider.&lt;/p&gt;&lt;img src="https://connect.bcbstx.com/aggbug?PostID=124&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description></item><item><title>RE: What Is a Health Insurance Claim?</title><link>https://connect.bcbstx.com/understanding-benefits/b/weblog/posts/claims-everything-you-need-to-know</link><pubDate>Thu, 11 Feb 2021 22:24:56 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:16268d7d-49fb-4157-8546-75979fc2913d</guid><dc:creator>NCarp2021</dc:creator><slash:comments>0</slash:comments><description>&lt;p&gt;Hello,&lt;/p&gt;
&lt;p&gt;How would you advise if a hospital billing department fails to file the claim in a timely manner, please? &amp;nbsp; We are told the billing Dept was waiting for the first insurance provider to finalize their portion first before billing the other insurance provider.&lt;/p&gt;&lt;img src="https://connect.bcbstx.com/aggbug?PostID=124&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description></item><item><title>RE: What Is a Health Insurance Claim?</title><link>https://connect.bcbstx.com/understanding-benefits/b/weblog/posts/claims-everything-you-need-to-know</link><pubDate>Wed, 07 Nov 2018 08:42:33 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:16268d7d-49fb-4157-8546-75979fc2913d</guid><dc:creator>reon333</dc:creator><slash:comments>0</slash:comments><description>&lt;p&gt;Hi , talking about claims there are reasons for claims to be denied. The insurance provider rejects a claim due to various reasons such as having a no covered charge, a referral or pre-authorization because of the usage of an out-of-network provider, minor transcription errors, the acceptance of claim in the wrong insurance company or other information errors.&amp;nbsp;&lt;/p&gt;&lt;img src="https://connect.bcbstx.com/aggbug?PostID=124&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description></item><item><title>RE: What Is a Health Insurance Claim?</title><link>https://connect.bcbstx.com/understanding-benefits/b/weblog/posts/claims-everything-you-need-to-know</link><pubDate>Wed, 04 Oct 2017 18:57:36 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:16268d7d-49fb-4157-8546-75979fc2913d</guid><dc:creator>BCBSTX Connect Team</dc:creator><slash:comments>0</slash:comments><description>&lt;p&gt;Hi Salvador, If you&amp;#39;d like to send us a private message I can have my team take a look at what&amp;#39;s going on. ~ Kayla&lt;/p&gt;
&lt;img src="https://connect.bcbstx.com/aggbug?PostID=124&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description></item><item><title>RE: What Is a Health Insurance Claim?</title><link>https://connect.bcbstx.com/understanding-benefits/b/weblog/posts/claims-everything-you-need-to-know</link><pubDate>Wed, 04 Oct 2017 17:52:18 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:16268d7d-49fb-4157-8546-75979fc2913d</guid><dc:creator>Salvador Robledo</dc:creator><slash:comments>0</slash:comments><description>&lt;p&gt;We visited the Drs offive today we went to walgreens to fill the rx but they told me one medicine was not covered. How do i claim this item? Or are not elegible?&lt;/p&gt;
&lt;img src="https://connect.bcbstx.com/aggbug?PostID=124&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description></item><item><title>RE: What Is a Health Insurance Claim?</title><link>https://connect.bcbstx.com/understanding-benefits/b/weblog/posts/claims-everything-you-need-to-know</link><pubDate>Wed, 11 Jan 2017 21:19:06 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:16268d7d-49fb-4157-8546-75979fc2913d</guid><dc:creator>BCBSTX Connect Team</dc:creator><slash:comments>0</slash:comments><description>&lt;p&gt;Hi Shani, If you&amp;#39;d like to send us a private message with your plan ID and contact information I can have my team give you a call to answer these questions. ~ Kayla&lt;/p&gt;
&lt;img src="https://connect.bcbstx.com/aggbug?PostID=124&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description></item><item><title>RE: What Is a Health Insurance Claim?</title><link>https://connect.bcbstx.com/understanding-benefits/b/weblog/posts/claims-everything-you-need-to-know</link><pubDate>Wed, 11 Jan 2017 16:22:39 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:16268d7d-49fb-4157-8546-75979fc2913d</guid><dc:creator>Shani Goldsmith</dc:creator><slash:comments>0</slash:comments><description>&lt;p&gt;ok on the EOB form it also has a 1,2,and 3 explanation of amounts not covered and it say&amp;#39;s I will not be billed the difference, or they can not bill me the difference but I am, and when I call you the insurance company and ask if i have to pay it you say yes. And why am I having to pay for preventive screenings, paps smear, mammogram, ect.. i am 45 years old, my mother has had 2 breast removed because of breast cancer, yet I have had to pay for my mammogram. I was wondering why. Thank You Shani Goldsmith.&lt;/p&gt;
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