If your proof of coverage has not been approved, the issue is usually caused by incomplete documentation, unreadable files, or missing coverage information.
Why wasn't my proof of coverage approved?
Common reasons include:
Required information is missing.
The document is unreadable.
Active coverage cannot be verified.
The document doesn't cover the reimbursement period.
Additional documentation is required.
How do I resolve the issue?
Review the request in your Member Portal.
Gather the requested documentation.
Upload the corrected document.
Submit the updated information.
Monitor your review status.
What if I uploaded the wrong document?
Upload the requested documentation as soon as possible.
Take Command reviews the updated submission after it has been received.
What if my proof of coverage is still pending?
Pending Review means your documentation is waiting to be reviewed.
No action is required unless you're asked to provide additional information.
When does this article not apply?
This article applies only to proof of coverage issues.
It does not explain reimbursement claim denials or payment delays.
Key takeaway
Most proof of coverage issues are resolved by submitting complete, legible documentation that verifies active health insurance coverage for the applicable reimbursement period.