How to File a Medical Claim

Whenever you receive services from a medical provider, whether you suffered an injury, illness, or just had a doctor visit, you need to submit a medical claim to your insurance company or other managed care organization. Often your physician or other health care provider will file the claim for you. Otherwise you’ll need to submit a letter to file a medical claim to your health insurance company. To File a Medical Claim, you’ll need the following:

• Your insurance policy or benefits booklet - the policy literature should include instructions on filing medical claims
• A claim form from your insurance company or managed care organization
• A statement from your insurance provider to submit along with the claim form
• A cover letter to accompany the claim form and statement

Your insurance provider will also need more detailed information about the medical services and care your received, so be prepared to supply the following information:

• Your policyholder medical ID number
• The nature of the injury or illness
• The diagnosis and procedure codes
• The type of service(s) you received
• The date(s) of the service
• The charge(s) of the service(s)
• Your provider’s identification number

You can write a Letter to File a Medical Claim in minutes with Rocket Lawyer’s easy online interview. 

Laws on this topic may vary from state to state. This content is not meant to provide you with complete information and it is not intended to be legal or tax advice. It is recommended that you consult with your own attorney, accountant or other advisor regarding your specific situation.