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department of athletics policies & procedures - UNC Wilmington ...

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STEPS FOR PROCESSING MEDICAL BILLS<br />

<br />

<br />

<br />

<br />

<br />

Receive pre-authorization from <strong>UNC</strong>W Department <strong>of</strong> Athletic Training for<br />

referral to <strong>of</strong>f-campus services. This is granted by the Athletic Training<br />

Department Staff.<br />

Receive pre-authorization from you primary insurance carrier. This is most<br />

important if you are seeking the services <strong>of</strong> a specialty provider, having an<br />

image or laboratory test performed, or undergoing surgery.<br />

Provide primary insurance information to healthcare provider at time <strong>of</strong><br />

services. The <strong>UNC</strong>W Department <strong>of</strong> Athletic Training requests this<br />

information from you ahead <strong>of</strong> time so that services are not delayed.<br />

Submit <strong>UNC</strong>W’s secondary athletic health insurance information to the<br />

healthcare provider at the time services are rendered.<br />

Review your explanation <strong>of</strong> benefits (EOB) and itemized bill. These will be<br />

mailed to you following any services rendered. If you have any outstanding<br />

fees upon reviewing these documents, submit both the EOB and the itemized<br />

bill to the <strong>UNC</strong>W Department <strong>of</strong> Athletic Training Insurance Coordinator.<br />

Submit the EOB and itemized bill to the <strong>UNC</strong>W Department <strong>of</strong> Athletic<br />

Training Insurance Coordinator. We will work expeditiously to see that all<br />

remaining outstanding bills are paid in a timely and thorough manner<br />

Please note that <strong>UNC</strong>W will not pay for the following:<br />

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<br />

<br />

<br />

Any bills incurred without the approval <strong>of</strong> the Department <strong>of</strong> Athletic Training<br />

referral<br />

Any bills requesting payment without EOB and itemized statement<br />

Healthcare issues prohibited by NCAA regulations allowing <strong>UNC</strong>W to pay for<br />

(please refer to student athlete handbook for a complete list)<br />

Request <strong>of</strong> payment in an untimely manner as deemed such by <strong>UNC</strong>W’s<br />

secondary insurance carrier<br />

Student-Athlete Referral Policy<br />

PURPOSE: To provide clear instructions regarding what is necessary when reporting<br />

injuries to the insurance providers and when scheduling medical services at <strong>Wilmington</strong><br />

Orthopedic Group (WOG).<br />

STEPS FOR REPORTING INJURIES AND MEDICAL CLAIMS FOR<br />

ATHLETES<br />

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