Mandated Electronic Claims Filing - Some assurance Carriers Mandate Electronic Claims Filing

Free Health Insurance Claim Form 1500 Download - Mandated Electronic Claims Filing - Some assurance Carriers Mandate Electronic Claims Filing

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They've been talking about it forever but it looks like it might ultimately have arrived. assurance clubs are starting to mandate electronic submissions of assurance claims. We've gotten our first consideration that curative assurance claims must be sent electronically in 2007.

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Free Health Insurance Claim Form 1500 Download

Many assurance clubs have been trying to encourage providers to submit assurance claims electronically for years. They've offered perks such as quicker payments, less requirements for authorizations, and other benefits to the providers. They've also had provider reps visit provider's offices to see why they are not submitting claims electronically and offer suggestions for methods to get their office capable of sending their claims electronically.

Now we are well seeing clubs that are saying they will no longer accept claims on paper Cms 1500 or Hcfa 1500 forms. Fidelis Care of New York is one of the plans that is stating they will no longer accept any claims on paper in 2007. They state they are at over 80% electronic claims and they are not accepting any more paper claims in 2007. If you are a participating provider in Fidelis Care and you try to submit your claims on paper, they will be returned to you with a letter. They are advising you to experience your provider rep and they will help you find a recipe to submit your claims electronically.

Fidelis Care is one of the first assurance clubs that I've seen that is well returning any paper claims. Excellus Bcbs keeps track of how many claims each provider submits on paper and if the estimate is over a safe bet estimate per month, they send a provider representative out to speak to the provider about why they are not submitting claims electronically, but they don't return the claims - yet. New York Medicare states that all providers are suppose to submit claims electronically, but they allow adequate exclusions that an office can get nearby it.

I think that many clubs will begin to supervene suit with Fidelis Care of New York. It is a huge money saver for the assurance business to receive claims electronically. More and more clubs will begin to return claims to providers if submitted the old fashioned way, on red and white paper forms!

Copyrite 2007 - Michele Redmond

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