For some insurance companies we are able to do electronic posting and we do not need your eobs. This currently applies to all Highmark providers. With your consent, we can add this capability for Medicare payments as well. As more insurance companies provide this capability we will take advantage of this process.
However, for most insurance companies we still need to receive your eobs. If you provide us with originals, we will gladly either return them to you after we review them, or we will gladly file and store them for you. Keep in mind that eob’s need to be retained for 7 years.
Why is it so important that you send us eobs? Several reasons:
- When we are able to review eobs, we are able to identify rejection issues and take the necessary action to correct any problems in a timely fashion and refile the claims are appropriate:
- Each month, we call on your unpaid claims. If the insurance company tells us there has been a payment, we then verify that the payment was received by you and the check properly cashed. This process takes a great deal of time that in some cases is very unnecessary;
- By eliminating unnecessary phone calls, we can not only better focus on real issues that are preventing or delaying your payment, but we an also keep our costs down.
We ask that all eobs be provided to us as they are received, with all eob’s provided to us within 2 weeks of receipt. Should you have any questions, please feel free to ask any MPMS team member.
0 Responses
Stay in touch with the conversation, subscribe to the RSS feed for comments on this post.
You must be logged in to post a comment.