Do You Know How to File Your Claim?
Health insurance can be confusing to navigate, even for those who are experienced. Let us simplify the beginning of the claims process by taking you through a few key recommendations.
You don’t want to have to use your insurance, but in case of an unexpected illness or accident, having that safety net creates invaluable financial peace of mind. In case you do need to use your Platinum-marketed supplemental insurance policy, here are some suggested tips for a smoother claims process.
Call Platinum’s Customer Service Team
Before you do anything else, we recommend that you call our friendly and knowledgeable customer service team at 1-855-637-6550. We can answer any questions, ensure that you’re submitting accurate information, put your claim on record and more.
Gather the Information You Need
After you’ve called Platinum customer service, you’ll need to request UB-04 and CMS-1500 forms from your medical provider. Keep in mind that a balance-due statement from the provider is not enough. If you’re unable to obtain the UB-04 and CMS-1500 forms, you can submit an itemized bill with the following information:
- Patient’s name
- Medical provider’s name, address and tax identification number
- Procedure and diagnosis codes
- Date of service
- Charges incurred
Fill Out Claim Forms
At Platinum, we want the claims process to go as quickly and smoothly as possible. That’s why we conveniently provide downloadable claim forms on our website. Fill out the downloaded forms, which include the patient statement, physician statement and the HIPAA authorization form. If you need help, our claims specialists are always available to walk you through this step.
Return your completed forms to Platinum.
Mail your completed UB-04 and CMS-1500 forms, patient statement, physician statement, signed and dated HIPAA authorization and any itemized bills to Platinum:
Platinum Supplemental Insurance
The Platinum Building
137 Main St.
Dubuque, Iowa 52001
It’s recommended that you make photocopies of any correspondence you send to us to keep for your records.
Each claim is different, and though the claims process can vary from case to case, Platinum will always devote the time and care to make the process as smooth as possible. We understand the time and diligence required for each unique claim, which is why your claim will be handled by the same representative from start to finish—it’s the Platinum Advantage.
Platinum is a marketer of supplemental health insurance products.
Policies have exclusions and limitations. For costs and complete details of coverage, contact Platinum Supplemental Insurance.