Medical Billing Forum

Billing => Billing => Topic started by: catooch on May 07, 2009, 09:09:57 AM

Title: Worker's Comp
Post by: catooch on May 07, 2009, 09:09:57 AM
Hi Michelle,

I don't see any reference to worker's comp on the forum.  Do you handle claims.  If so we're having trouble getting straight answers on how to submit electronically.  We have contacted Mdon-line(our clearinghouse) and they say we need a payor ID.  Do you have any insight to this situation.  Is there a website we could consult to get the answers we need?

Thanks, Cathy
Title: Re: Worker's Comp
Post by: PMRNC on May 07, 2009, 01:56:23 PM
You will have to contact the WC Carrier to see what their payor id is and where claims are submitted. If using a clearinghouse also you might want to find out if they will drop the claim to paper for those that are not taking electronic claims.
WC is different in every state.

Linda Walker
PMRNC
www.billerswebsite.com
Title: Re: Worker's Comp
Post by: Michele on May 07, 2009, 09:44:36 PM
Linda is right.  You need to contact the comp carrier.

If the comp companies are not accepting electronic claims then they won't have a payer number and the claims have to be submitted on paper.  Most of the comp carriers in NY are not set up yet to receive electronic claims.

Michele
Title: Re: Worker's Comp
Post by: rdmoore2003 on May 11, 2009, 04:01:41 PM
I have never sent W/C claims electronically.  I have been working with these claims for over 3 years.
Title: Re: Worker's Comp
Post by: Michele on May 14, 2009, 07:12:27 AM
Not many carriers accept them electronically yet, but in NY they are pushing it.

Michele
Title: Re: Worker's Comp
Post by: PMRNC on May 14, 2009, 09:42:28 AM
It's because of all the paperwork involved, also, no matter what state you are in, WC isn't going to move faster by accepting electronic claims, especially in states like NY and California where they are just so backed up any which way you look.
I always tell my clients that you will always wait for reimbursement and the only thing you can do to ensure no FURTHER delays is to keep good records, get an attorney's LOP when possible and keep doing follow-up. Most WC cases are held up in whole because there are many times where multiple physicians are involved in one case and if one physician delays paperwork it can delay an entire case.
Every carrier is different and WC is different in every state.

Linda Walker
PMRNC
www.billerswebsite.com
Title: Re: Worker's Comp
Post by: Michele on May 14, 2009, 02:34:43 PM
Very true.  I wasn't expecting electronics to speed anything up.  I would like not having to mail them though, although as Linda mentioned, many times they are requesting extras like notes, referrals, etc so it won't help.

Michele