Having
trouble getting a claim paid? Are you even sure it was received?
The easiest way to be sure claims process and are paid with
ease, the first time, is to make Family File accuracy a priority!
Typos are easy to make. Mistakes happen. Be sure you and your
staff are taking their time and verifying that all entered information is
accurate. Here are some common things to pay close attention to that will avoid
delays and errors.
1. When entering a patients NAME, be sure first
and last are right, spelled correctly and match what the current insurance plan
has on file. An accurate family file is a crucial part of the success of
your practice. When this information is correct, and updated regularly, claims
will be received and paid correctly. This saves everyone time and energy
and increases revenue for the practice.
2. It is imperative that the patients DATE OF BIRTH be
entered correctly. One wrong number makes all the difference.
3. Current INSURANCE coverage information
must be verified on or before each visit! Who is the subscriber? The correct
family member must be entered as the SUBSCRIBER, and the subscriber
ID needs to be accurate. Make sure you are checking whether it is family or
individual plan. Do they have a secondary? Subscriber information must be
accurate for each plan. Before entering each plan, verify which is primary and
secondary.
4. Most of our plans today use electronic filing. This
feature is quick, easy and convenient. BUT- it only works when the
correct PAYER ID is entered. The first time the insurance
coverage is entered, the correct payer ID should also be included. When
verifying coverage on or before appointments, the payor ID can very easily be
confirmed as well. When having an issue with a claim, this should be one of the
first things checked.
