The History
 
Glossary
 
HMO Structure
 
Claim Process
 

Home
About Us
Health Insurance Quote
Healthcare News
Tracking Aids
Claim Tips
Call Tips
Enrollment Tips
Medicare
Dr. Certification
Top Questions
Helpful Links
Life Insurance Quotes
Auto Insurance Quotes
Privacy Policy
Regulations
Contact Us

HELPFUL TIPS WHEN CALLING CUSTOMER SERVICE

The following tips may help you receive excellent customer service and achieve the outcome you desire. The key is to keep good notes & records.

Make yourself SMILE when you are calling on the phone.

It may help to diffuse any anger you may have about the situation and minimize the chance of the person answering becoming defensive.

Make sure you have needed information ready before your call.

Customer Service Phone #  
Member ID   
Date of Service  
Provider name  
Provider service performed  
Amount of claim  
   

 

Phrase your questions clearly and concisely.

Question:
 
 
 

 

Describe any outcome or action you are expecting to be taken.

Actions wanted:
 
 
 

 

Listen carefully, focus on what you are being told, and make notes about the information or promises you’re being given.

Your Items to do To whom, where, what Do by Date
     
     
     
Plan Items to do By whom, what, how Do by Date
     
     
     

 

Always ask for the representative’s name, phone and note the date & time of call.

Phone No. & extension  
Representative's name  
Date & Time  
Call Reference number  

 

If a return call is promised ask for a window of time when you can expect to receive it.

Call back date & time  
Letter expected  

 

Repeat back the answer or summarize the steps and timeframes to confirm the action being taken.

NOTES:
 
 
 

 

Look at this as an opportunity to give the organization feedback and the chance to improve their service.

 

Copyright © 1999-2008 - Affordable Health Insurance - Helping you navigate the healthcare maze