Calling Insurance About Reimbursement: what to say in English

Health保险电话

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.

check onclaimsubmittedhaven't heard back

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.

went to the dentisthow muchplan covers

My policy number is 12345. Can you pull up my account and tell me what's covered?

To verify coverage with policy number.

policy numberpull upaccountcovered

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.

covers 80%fillingsannual maximum

It looks like your claim is still being processed. You should receive payment within 10 business days.

Claim is processing; payment in 10 days.

being processedreceive paymentbusiness 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.

submit the receipton file

Can I submit claims through the app, or do I have to mail everything in?

Inquire about claim submission methods.

submit claimsthrough the appmail

Great, thanks for the help. One more thing — does my plan also cover physiotherapy?

Ask if physiotherapy is covered.

thanks for the helpone more thingphysiotherapy

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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