Kwa ofesi ya zachipatala, kusonkhanitsa kwapadera kwa ndalama zolipilira ndi gawo lofunikira la phindu la ndalama. Zosonkhanitsa patsogolo zimachepetsa chiwerengero cha ma odwala omwe amatha kukhala ndi ngongole kapena zokolola. N'zosavuta kusonkhanitsa kuchokera kwa odwala asanafike mautumiki operekedwa kuposa masiku 60 pambuyo pake inshuwalansi itatha.
Pangani Njira
Ofesi yanu ya zachipatala kapena chizoloŵezi chikufuna dongosolo lakusonkhanitsa patsogolo kumene kuli kolondola ndi kosagwirizana. Ndondomeko yanu iyenera kupita mopitirira kuonetsetsa kuti odwala akufunsidwa kuti apereke ndalama kapena ndalama zawo pokhapokha atafika kuti apite ku msonkhano wawo.
Ndondomeko yanu idzayamba mwamsanga pamene ntchitoyi ikukonzekera kuti mudziwe zomwe udindo wa wodwalayo udzakhala. Mutatha kudziwa izi, muyenera kuonetsetsa kuti wodwalayo akudziwa zomwe angayang'anire payekha payekha. Akadzafika kuntchito, mudzakhalanso ndi ndondomeko yoyenera kuti mupemphere malipiro ndikupatsani zosankha.
Kulondola ndi kusasinthasintha, pamodzi ndi dongosolo la kuzindikira ndi kusonkhanitsa udindo wodwala, ndizo mafungulo a ndondomeko yanu yosonkhanitsa. Pamene mukukonzekera ndondomeko yotsalira zopititsa patsogolo ku ofesi yanu, onetsetsani kuti muli ndi ndondomeko zotsatirazi.
Khwerero 1: Kambiranani ndi Kampani ya Inshuwalansi Asanayambe Kukuchezerani
Mwamsanga mukatha kukonzekera, funsani kampani ya inshuwalansi kuti muonetsetse kuti wodwalayo akadali wotsekedwa komanso kuti ayang'ane ndondomeko iliyonse yoyenera. Pezani za copay , deductible, ndi ndalama zowonjezera.
Khwerero 2: Onetsetsani Kampani Yanu Yopereka Chithandizo
Onetsetsani mgwirizano wanu wosamalidwa bwino kuti mudziwe kuti kubwezera kwanu ndi kotani, kuyesa, kapena ndondomeko yanu. Mufunikira chiwerengero ichi kuti muwerengere copay.
Gawo 3: Lembani Co-Pay
Sungani udindo womwe wodwalayo ali nawo. Onani chitsanzo pansipa.
Mtengo wa $ 100.00 wa ndondomeko
x 80% Mgwirizano wa mgwirizano
= 80.00 Chilolezo Chololedwa
- 50.00 Odwala Deductible
- 10.00 Odwala Copay
= 20.00
x 20% Pakati la Coinsurance Peresenti
= 4.00 Kuchokera kwa Wodwala Wodzipereka
+ 50.00 Wodwala Deductible
+ 10.00 Odwala Copay
= 64.00 Udindo Wodalirika Wokwanira (Copay)
Khwerero 4: Chikumbutso Chitani Wodwala Amene Akuphatikiziranso Co-Pay Choyembekezeredwa
Phatikizani udindo womwe wodwalayo ali nawo ku msonkhano wokumbukira maimelo, imelo, ndi kalata. Mukamalankhula ndi wodwalayo kuti atsimikize kuti adzabwera kudzabwera, onetsetsani kuti mukuwakumbutsa kuti abweretse chilolezo chawo choyendetsa kapena mtundu wina wa chidziwitso ndi khadi lawo la inshuwaransi. Awalangizeni kuti adzayenera kulipira udindo wawo womwe asanakhale nawo asanayambe kukonza njira zawo ndi kulemba njira zomwe amavomereza.
Khwerero 5: Malipiro Ofunsira Pakufika pa Chikhumbo
Desi lapamwamba ogwira ntchito likuyenera kuitanitsa malipiro pamene wodwalayo abwera ku msonkhano asanaoneke ndi wothandizira. Akumbutseni wodwalayo kuti ndalama zomwe akulipira zimachokera pa kulingalira. Musayambe kulipira mokwanira pa mapepalawo mpaka mutalandira ndalama kuchokera kwa kampani ya inshuwaransi ndipo udindo wa wodwalayo ukuwonetsedwa pa kufotokozera madalitso (EOB).
Gawo 6: Perekani Zosankha Zopereka
Kupereka njira zothandizira pulogalamu yamtengo wapatali komanso njira zopangira opaleshoni.
Gawo 8: Tumizani chizindikiro
Onetsetsani kuti zizindikiro zimayikidwa m'madera omwe akuyembekezera odwala akufotokoza momveka bwino:
"Malipiro Ali Ofunika Kwambiri Kugwira Ntchito"
Zindikirani: Musapemphe Malipiro kwa Odwala Odwala
Musayesetse kulipira malipiro ochokera kwa odwala Odzidzimutsa kufikira atakhala ataonana ndi dokotala chifukwa cha malamulo a EMTALA.