Fibromyalgia & Chronic Pain LIFE Summer 2013, Issue 9 - Page 29

How to Navigate the System Preparing for Changes With so many changes in our healthcare system, including health insurance access, it is more confusing than in the past when submitting successful claims for chronic pain diagnosis and treatment. There are several things you can do to navigate the health insurance system for a more successful outcome on reimbursement for your claims and if necessary, with the appeals process. Health Insurance and Chronic Pain: Self Advocacy MAKE FRIENDS WITH YOUR INSURANCE CARRIER Friends? This may counter-intuitive and even outside of your comfort zone, but making personal contact with your representative can sometimes make a difference in whether a claim is paid or not. sound call and ask to speak with a representative for your group. When you are connected, introduce yourself and explain that you have a chronic pain condition. Be certain to write down the representative’s name and telephone extension number, if applicable, for use later. Ask questions about what you can personally do to help ensure successful claims service for your condition. You might contact your representative a ½ÕÁ±”½˜Ñ¥µ•ÌÝ¥Ñ ½Ñ¡•ÈÅՕÍÑ¥½¹ÌÑ¼•Íх‰±¥Í „™É¥•¹‘±äÉ•±…Ñ¥½¹Í¡¥À…¹…±±½ÜÑ¡”Á•Éͽ¸Ñ¼()U¹‘•ÉÍх¹‘¥¹œI½±•Ì½˜Aɽ™•Í¥½¹…°I•Áɕ͕¹Ñ…Ñ¥Ù•Ì()Q¡”Ñ•±•Á¡½¹”¹Õµ‰•È™½È±…¥µÌ¥ÌÕÍՅ±±ä½¸å½Õȁ¥¹ÍÕɅ¹”…ɐ¸]¥Ñ å½ÕȁÁ±…¸¹Õµ‰•É́…¹½Ñ¡•È¥¹™½Éµ…Ñ¥½¸½¸å½Õȁ…ɐ…Ù…¥±…‰±”°()l() ”•Éх¥¸Ñ¼Ýɥє‘½Ý¸Ñ¡”É•Áɕ͕¹Ñ…Ñ¥Ù—Šé¹…µ”…¹Ñ•±•Á¡½¹”•áѕ¹Í¥½¸¹Õµ‰•È°¥˜…ÁÁ±¥…‰±”°™½È±…ѕȁÕ͔¸()t)1¥™—Š€ÈçŠ()MÕµµ•È€ÈÀÄ́¥‰É½µå…±¥„€˜ ¡É½¹¥ŒA…¥¸((0