Most insurers requesting the information require a photo copy of all information in the medical record. The reports must be faxed daily to Humana's UR department to be on file before the claim arrives. If received, they are often attached to the claim in the hope that it will speed claim processing. These forms vary in content and are usually unique to the payer. At times it appears that the request is being used only to delay payment of the claim.
Many insurers require a form completed by the patient or subscriber.
Information concerning the subscriber should already be in the insurer's data base. Other elements such as accident information are already contained within the claim. It appears that the payers want the patient's signature attesting to the validity of the information. Referral forms should be reduced in content or eliminated wherever possible. In the past payers have delayed paying the claim until the patient or subscriber has completed and mailed the claim to the payer.