I paid for the procedure, they told me I would be reimbursed by Humana. She did not tell me to fill out any forms.
Can you clarify what you mean by reimbursed?
Do you have a spending account with Humana that you are seeking reimbursement from?
Or is there perhaps a claim that was submitted from the provider? Claims are typically processed within 30 days, and an explanation of benefits is generated showing what your potential patient liability is. If the provider is in network, payment is made by Humana to the provider directly.
If they are out of network, they may not submit a claim to your insurance. In this instance, you can follow the steps below to obtain a claim form and request the payment be made to you versus the provider.
Where can I get a claim form?
It is an out-of-network provider. I paid for the whole process in advance, they told me they would file a claim for me, and they did. Claim #201812123584331. Dentist rep told me that Humana would send me a check for whatever portion is covered by the insurance. I am not sure if I need to do any other paperwork for that.
In review of the claim, it does not appear that they submitted it with indication to pay to you, being the member directly.
For this reason, the payment was sent to the provider. It was issued on 12/28/18.
In this instance, the provider would have to process the payment and reimburse you directly.
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