What Happens When a Claim is Denied?
Posted: March 16th, 2010, 5:18 pm
I was reading some archived post, when I came across this reply from a ACT rep in response to someones question about the insurance billing process.
Thanks,
Jason
With the above paragraph in mind, I would like to ask: what happens if you start the repair (according to the advice above), only for the cars owner to discover later in the conference call that the claim is denied. I don't see this being a problem if the owner agreed to pay cash for the repair if the insurance didn't cover it, but if they were strictly getting it repaired because they believed that it would not cost them, I could then see it being a problem. How do you handle this?Daveycrewcut wrote:Most insurance companies do not handle their own auto glass claims. They use 3rd party administrators like Lynx, SGC, Harmon, Quest to name a few. You need EDI software to do your own invoicing but some allow you to fax or submit invoices over the internet. If you fax or mail them, there is usually a manual processing fee. Our Autoglass Claims Team, Inc (A.C.T.) will help you get enrolled with all the networks and submit your invoices for a lesser fee than faxing or mailing direct. We will also, for a flat $12.95 fee provide full service, meaning you will have only one toll free # to call no matter what the insurance company is and then you will be on the phone for only 15-30 seconds, then we will have you put your customer on the line so you can go back to work and we will conference in your customer with the correct claims center for whoever they have insurance with. After verifying coverage and getting authorization, we will submit your invoice for you via EDI. We also have a 3 day pay plan where you don't have to wait 2-4 weeks for payment.
We will pay you on Tuesday or Friday whichever comes first. You can reach A.C.T. at {removed by moderator} and Delta has applications.
Thanks,
Jason