Calling Insurance About Reimbursement: what to say in English
State the Purpose
Hi, I'm calling to check on a claim I submitted last month. I haven't heard anything back yet.
To check the status of a claim.
I recently went to the dentist and I want to know how much of the bill my plan covers.
To inquire about dental bill coverage.
My policy number is 12345. Can you pull up my account and tell me what's covered?
To verify coverage with policy number.
Coverage Explanation
Your plan covers 80% of dental cleanings and 50% of fillings, up to an annual maximum of $1,500.
Explains dental coverage percentages.
It looks like your claim is still being processed. You should receive payment within 10 business days.
Claim is processing; payment in 10 days.
Follow-up Questions
Do I need to submit the receipt again, or do you already have it on file?
Ask if receipt resubmission is needed.
Can I submit claims through the app, or do I have to mail everything in?
Inquire about claim submission methods.
Great, thanks for the help. One more thing — does my plan also cover physiotherapy?
Ask if physiotherapy is covered.
Key words
claim
A request for insurance payment.
reimbursement
Getting money back for expenses.
coverage
What the insurance pays for.
policy number
Your insurance account number.
deductible
Amount you pay before insurance pays.
annual maximum
The most insurance pays yearly.
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