Doroshow Devotee

Envision Your Claims Issues Being Resolved With A Single Phone Call.

Introducing the Doroshow Devotee.

Your company has worked hard to find the right insurance programs for your employees: ones that gives them the coverage they need at affordable costs. Yet even the very best programs can be confusing. Issues related to your coverage, providers, referrals and claims, can be overwhelming. We want you to know that Doroshow Insurance is here to help.

The Doroshow Devotee eliminates frustration and heightens productivity by givng you a dedicated single-source Benefits Specialist for all insurance and claims-related matters. With The Doroshow Devotee you recieve fast, skilled assistance with:

Provider Issues

Verification of participating service providers
Clarification of covered benefits
Deductible and co-pay questions

Referral Assistance

Clarification of medical referral procedures
Names/phone numbers of participating specialists
Verification that specialists referred by primary care physician are covered under the Plan.

Claims Management

Quick answers to questions on claims filings and procedures
Research claims sdtatus
Fast resolution to claims problems (i.e., delayed payments)

Employee Name*
First Last
Patient'sName
First Last
Who is your employer?
What insurance company do you have?*
What is your member ID number?
What is the date you received care?
What is your problem or question?
How can I reach you to discuss this?*
Phone
Best time to call

: HH

MM
Time zone
Email
Please attach a copy of the bill or explanation of benfits from your insurance company
I hereby authorize Doroshow Insurance to use or disclose the specific information as described above. All claims information, prior authorizations, eligibility, billing, provider, inquiries. The information may be used/disclosed for all health insurance related requests and inquiries. This authorization shall remain in effect from the date signed below through the life of the policy.
Insured's Name*
First Last
Date
Please type your initials in the box below. By putting your initials here, you understand that you are signing this form electronically.*
Email
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