The processing time for claims is generally 30 days (or less) from the date the carrier receives the claim. Some vendors don't ship it. The procedure for processing an insurance claim can vary greatly depending on the type of claim and the insurance company that processes it. In general, the process can take anywhere from a few days to several months. Managing claims and receiving compensation can become a tedious challenge.
It's also overwhelming to address issues with insurance companies and go through the entire claim process. Your health plan must let you know if your claim is being accepted or rejected within 30 business days of receiving the claim. HealthPartners pays most claims within four weeks. To find out when your insurer is doing bad tricks to delay your claim, let's look at how long an insurance company should have to process a claim. A medical claim is a bill (or bill) that your doctor's office sends to your health insurance company after receiving care.
Claims you file for health care expenses that you have paid and that can be reimbursed to an account before paying taxes, such as a flexible spending account (FSA) or a health reimbursement account (HRA). If you participate in a work plan that provides health benefits, this brochure outlines some of your plan's obligations and briefly explains the procedures and deadlines to file a health claim. The rules for health claims discussed in this booklet generally apply to people who receive health benefits from a private sector employment plan. A bill that your dentist, orthodontist or oral surgeon's office sends to your health insurance for your dental care.
In some cases, the insurance company may take longer than it should to process your insurance claim. A bill that your pharmacy sends to your health insurance company for the drugs you have received.
