Mandated Electronic Claims Filing – Some Insurance Carriers Mandate Electronic Claims Filing

You've talked about it forever, but it looks like it might finally arrived. Insurance companies are beginning to electronic submissions of claims mandate. We got our first indication of the need for medical claims incurred in 2007 will be transmitted electronically.

Many insurance companies have tried to encourage providers to submit insurance claims electronically year. They have advantages such as faster payments, fewer regulations and offered for licensingother benefits for providers. They had also been visiting the manufacturer reps agent offices to why they electronically in a non-entitlement and offer suggestions for methods to obtain suitable office electronically by sending their claims.

Now we are really seeing that companies say they will no longer accept claims on paper CMS 1500 or HCFA 1500 forms. Fidelis Care of New York is one of the plans which they claim is no longer any claims to the paper to accept2007th They declare they are over 80% of electronic claims and they will no longer accept paper claims in 2007. If you are in a participating provider Fidelis Care, and try to submit your claims on paper, they will deliver you back with a letter. They will advise you to contact your provider rep, and they will help you a method to submit your claims electronically.

Fidelis Care is one of the first insurance companies, I have seen that there really is no paper backClaims. Excellus BCBS prosecuted, how many claims each provider makes on the paper and if the number over a certain amount per month, they send a service provider, to include representatives from the provider as to why they do not speak of rights in electronic form, but not return of claims - yet. New York, Medicare states that providers are all well for claims submitted electronically, but they leave plenty of exceptions, that an office can get around it.

I believe that manyCompanies start to follow suit with Fidelis Care of New York. It is a huge money saver for the insurance for claims received electronically. More and more companies begin to claim back to the providers when presented the old-fashioned way, on red and white forms!

Copyrite 2007 - Michele Redmond

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