Getting your managed care claims paid can be a difficult and seemingly daunting task, however, there are a few helpful business practices to develop that will increase your chances of a more successful outcome.
1. When you speak with a customer service representative about a claim, always ask for a reference number for that phone call. Document that number in the patients file; you will often need to rely on that conversation in the future.
2. When you mail an appeal or any documentation necessary to support payment of a claim, send it by certified mail or by any other commercial means available to track receipt of the correspondence. This can prove invaluable when the carrier states they havent received it or when they claim you submitted it beyond the timing filing deadline.
3. When you send a fax to the carrier, set your fax machine to print a confirmation of your transmission. This one sheet is proof of your timely filing and can make the difference between getting paid or not.
By consistently implementing these three practices, you create an indisputable document trail that can only help you get your claims paid.
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