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FAQ

How long does it take to process a health insurance claim?
Having worked in the Health Insurance field, both on the end of the Health Insurance Company and on the billing end.  I have to disagree somewhat.  It completely depends on what insurance carrier you have, what time of year it is (at the first of the year, when policies change, things tend to be slower b/c not all of the plans have been built and fully tested and given the green light yet).  Also, it depends on what information is in your claim.  Was it a PCP visit for the flu?  Was it for a mastectomy due to (confirmed) breast cancer?  Was it for a heart transplant?  Were you having nonmalignant lesions removed?  These all play a part in the processing as well.  Even if a certification/authorization was obtained prior to surgeries, it is not uncommon for the Ins to want a copy of the operative report/notes, etc.   And more times than not, these are sent out to be dictated, so then you have to calculate the amount of time it takes for that info to get to and from where it has to go, before it can even be sent to the insurance carrier.   Also, was the claim a "clean" claim?  Meaning there were no errors on the claim.  Accurate DOB, Member ID, valid DX/CPT/HCPC codes, was it sent to the correct payer/insurance company?  Were the Diagnosis codes allowable for the CPT/HCPC codes billed?  If not, the chances are either A: the claim will deny or B: Ins Co will send out a letter advising you of the problem.  Also, did you pryour doctor with a new insurance card?  Or is the card they have on file old and therefore may have old Member ID's, Group #'s, Payor ID's?  Another factor is I see frequently is have you been sent AND have you completed and returned an OIC form?  If you have gotten one, but didn't complete it, then your claims will stop paying until you complete that and return it (this is something that happens on a daily basis sadly).  Ins. Co's do not want to pay incorrectly, which results in more money lost may times.  For instance, does your husband carry insurance on your entire family, but this year you started working and are receiving insurance via your employment?  This is something insurance has to know to pay accurately and to determine which company is responsible for paying primary vs secondary vs tertiary.  Having said all of that, assuming you went to the dr for a well visit, and you have not exceeded your yearly allowable on well visits (most plans pay for 1/yr) and you went to an In network doctor (b/c if they are out of network, and potentially a new practice, a W-9 might not be on file, which could either hold up the processing of the claim or the payment of the claim).  And all information you have supplied to your dr is accurate, and its the not January 1 and you were only seen for a well visit, then it shouldn't take more than a week for it actually processes.  Again, assuming the above is all in play.  But, something else you have to consider is that just because you see the dr today, does not mean your claim will be submitted to them today.  Also, once the insurance processes the claim, they don't send out EOB's on a daily basis (most don't at least, but there are some that do).  Many do this once a week.  So as you can see, while it seems like a very simple thing to do, in many cases, it's not that simple.  SEVERAL situations play a part in how long it takes...like I didn't even get into the whole "system issue's" above...which can delay claims processing for very long periods of time, depending on the issue. 
How long does a VA claim take to process, on average now?
The VA Claim Process after You File Your ClaimThe VA Claim Process after You File Your ClaimFind out what happens to your claim after you file for disability compensation.How long does it take VA to make a decision?125.7 days Average number of days to complete disability-related claims in February 2019The amount of time it takes to review your claim depends on:The type of claim you filedHow many injuries or disabilities you claimed and how complex they areHow long it takes us to collect the evidence needed to decide your claimWhat should I do while I wait?You don’t need to do anything unless we send you a letter asking for more information. If we schedule any exams for you, be sure not to miss them. You can check the status of your claim online. The time frame you see there may vary based on how complex your claim is.Track the Status of Your ClaimWhat happens after I file a claim?Claim ReceivedWe’ll let you know when we receive your disability claim.If you file your disability claim on eBenefits, you’ll see a notice from us in your claims list within about 1 hour of applying.If you file online for increased disability compensation, you’ll get an on-screen message from us after you submit the form. If you mail your application, we’ll send you a letter to let you know we have your claim. You should get this letter about 1 week, plus mailing time, after we receive your claim.Initial ReviewA Veterans Service Representative (VSR) will review your claim. It’ll move to step 3 if we don’t need any more evidence to support it.Evidence Gathering, Review, and DecisionDuring this step, the VSR will do 3 things:Ask for evidence from you, health care providers, governmental agencies, or othersReview the evidenceMake a decisionIf we need more evidence during the review, your claim may return to this step more than once.Preparation for NotificationWe’ll get your entire claim decision packet ready to be mailed.Claim CompleteWe’ll send you a packet by U.S. mail that includes details of the decision on your claim. Please allow 7 to 10 business days for your packet to arrive before contacting a VA call center.What should I do if I disagree with your decision on my claim?If you disagree with our decision, you can appeal it.If you received your decision before February 19, 2021. you can start the appeals process by filing a Notice of Disagreement. Learn how to appeal your decision.If you received your decision after February 19, 2021. you’ll need to follow our new process for getting your decision reviewed. Learn how to get your decision reviewed.
How long will it take to make a PPI claim?
PPI cases can either close within three weeks, but some cases take 18 months. If you have no prior preparations done and claiming with the help of the Claim Management Companies, this is what happens.Day 1: Once you have decided to make a claim with the help of Claim Management Companies, they will need the following details:Your lender’s nameAccount number for the loan or credit cardSigned Letter of Authority (LOA)Day 1: You post the LOA, which gives the Claim companies the authority to talk to your lender on behalf of you and handle your claim.Day 4: You send back the LOADay 6: If you do not have the required paperwork that proves you were mis-sold the PPI policy, you claim companies can request your lender to send it to them on your behalf. The lender has 40 days to reply to them.Day 46 (7 weeks): Once the copy of the original loan agreement is acquired, the claim company can file a complaint with your lender. For this purpose, the lender has 8 weeks to reply to it. With the current increasing amount of complaints, it might take up to 10 weeks for your lender to revert.Day 116 (4 months): Your lender might reply with either of the following on receiving your complaint:If you do not have PPI then this is the end of the roadIf you are offered a payment then you are happy with, you can expect the cheque between 3 to 8 weeks.If you have PPI and the lender refuses to give the refund, the complaint goes to the Financial Ombudsman Service. This stage can further take up to 18 months.
How long does it take for a life insurance policy to accumulate cash value?
Thanks for the question. The short answer is that the quantity of time that it takes to accumulate cash value will completely depend on the contract that you are purchasing and how much of the premiums that you pay.First off, lets deal with the premiums, if you do not pay the full yearly amount of your policy likely you will accumulate nothing, If you over pay the policy the the cash value may grow more quickly.Onto the contract. There is no such thing as a generic whole life policy (this is why clients have to read them to determine if they are right for them, each policy is different). But some policy chassis are created to generate more cash value early on while others are not focused on creating cash value until later on.Now, here is where it gets a bit more complicated. Most whole life insurance policies pay commissions and marketing expenses first, which means that most whole life policies build “VERY LITTLE CASH VALUE” in the first couple of years. This is one of the central issues with whole life being considered a good investment. (The other being the relative low rate of return.)One side note here, most people do not seem to realize that participating insurers only pay dividends on the cash value of the account and not on the entire amount paid in. Therefore if your cash value only has $8.12 built up in the first three years, that 4.2% dividend rate will only be paid on the $8.12, not the $8,000 you may have paid in.For these three reasons (1) Lack of Cash Build up in the first couple of years (2) Low Relative Rate of Return (3) Dividends only being paid on Cash Balances combined with the questionable selling tactics of life insurance agents (and I am an agent) make whole life insurance typically a poor decision for the vast majority of Americans.If you are going to consider a whole life insurance policy I would prefer you shop the ‘guaranteed charts‡ available combined with the insurers financial strength rating. Lastly all claims should be in writing and question everything you are told.Thanks for the terrific question.
How long does it take a life insurance company to pay a death claim when there is no "body" found to prproof of death?
Don't be overly surprised if it takes a long..long.. time…. or even never, if the insurance company is unable to obtain the necessary documentation to underwrite the claim.From a fraud detection standpoint - the insurance company needs a certified death certificate or coroner's report to confirm the insured's death..so a body is required. They will most likely investigate to confirm that the insured hasn't gone incognito as a means of defrauding the insurance company.I know there are instances where the insured can die and the body is unretrievable - such as a plane cash or a bombing death. But there MUST be supporting evidence to confirm this. If not, the insurance company will most likely not pay out.
How long does an appeal to the VA take?
It depends on many, many, factors. I wish I could give a straight answer, but perhaps I can give some insight into how the VA appeals process works.Here's the thing, once your claim is filed and denied and you decide to appeal it there are many stages that it must go through until finalization.First, you must decide if you would like a traditional review or Decision Review Officer (DRO) review. A traditional review is selected by default if you don't elect anything. A traditional review means that all evidence previously provided will be reviewed for errors, however, A previous decision can not be remerely by a review of evidence on record if there was no error in the original ruling. A DRO review will allow for new evidence to be submitted by the claimant in order to pra new decision. I tell you this because it takes a lot of time. It can take days and days for just one record to be reviewed completely and accurately. It's a process that cannot be rushed. Now, imagine that each office has thousands of appeals pending at any given time. It is difficult for us to open just one appeal and decide how long it will take, now we're talking about estimating how long it will take given the thousands of appeals pending (can you see how it is difficult to ehow long it will take?). Typically this process takes 1-2 years, however. If your appeal is not granted at this stage, then you'll have to file a form 9 to continue your appeal to the Board of Veterans Appeals (BVA) in Washington, DC. This is when the process becomes really time consuming. The appeal may either be denied or approved by BVA or sent back to the regional office for additional development of evidence. There's no way to tell how long this process will take, but it's typically 3-5 years based on current backlog. If your appeal is denied by BVA, it can again be appealed to the Court of Veterans Appeals (COVA). This is typically the last station for your appeal. Your appeal may either be granted, denied, or sent back to the regional office for further development for evidence. I've seen this process take 5-7 years and up to 20 years.
How long does it typically take travel insurance companies to pay a claim?
Hi there,It will depend on the type of claim, but generally once you’ve provided your travel insurer with all the necessary documentation, you should receive an outcome within 10 to 14 business days.If the claims team are waiting on a piece of documentation (e.g. medical reports, receipts, statements, police reports, etc.) they won’t be able to process your claim, so make sure you keep an eye on your email inbox and follow up on any further requests to keep the process moving.A good insurer will keep you posted with regular updates on your claim so you know what’s happening.If you haven’t heard anything from them within the designated timeframe, I’d recommend giving the claims number a call to see what’s holding them up.I hope this helps answer your question!To find out how to get the most out of your policy, see our guide: What Happens After I Buy Travel Insurance?
How long does it take for an insurance company to find out about a speeding ticket?
They may never learn of it. Most insurance companies are extremely cautious when taking on a new customer. However, once they have that customer they tend to focus more on the actual driving experience (aka accidents, payment history and or claims) rather than their Motor vehicle record.Motor vehicle records are expensive, therefore most companies do not routinely rerun your report each year, especially if you have a good record with the company. This is not true of every company, and it is not true if you have an unusual pattern of claims (My wife and I have had zero accidents in thirty years with one company, so I never worried when I got a speeding ticket a few years ago).Motor vehicle reports are extremely important when switching companies. They will run your report and get an accident record from a service which compiles claims data between companies. Most importantly they will usually run a credit report. This is probably the single most important factor in determining what your rate is, and for good reason. It is a better prediction of future claims experience than just about any other factor. But once again, most companies do not rerun credit reports on most existing customers.I recommend you find a good company with a good reputation (easily googled) and a fair rate compared to others. Then stick with that company until they lose your confidence (Which is hopefully never).
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