Medical Billing Forum

Billing => Billing => Topic started by: satyav14 on March 12, 2010, 12:31:51 AM

Title: Different Types of Billing Claims
Post by: satyav14 on March 12, 2010, 12:31:51 AM
Hi all, Im very new to this forum and i would like to know more about the different types of Billing Claims.

I heard of different types like Electronic Medicare, Standard, Standard Attorney, BC/BS, etc.. some more are still there.

Can any one explain what is the differnce in all these type of Billing Claims? What is difference in Primary, Secondary, teritiary Claims?

Sorry if this topic is already discussed some where else in this forum. Pls provide a link at least so that i cud refer.

Thanks,
Satya.
Title: Re: Different Types of Billing Claims
Post by: Pay_My_Claims on March 12, 2010, 08:25:12 AM
the way your question is posed, you would need a book to read to get all your information.

2 typse of filing, electronic or paper

professional claims (physician, dme, etc)-hcfa 1500
technical claims (hospital, facility etc) ub-04

primary-#1 insurance which is filed first
2ndary claim, if they have a supplement, or medigap plan, that is filed secondary to insurance or medicare
tiertiary #3, third insurance filed

EX: I have medicare, BCBS, Medicaid... Medicaid will be tiertiary no matter what, but you have to determine which is primary the BCBS or the Medicare. It depends on various things this is called (cob) coordination of benefits.

You might want to take a course if you are interested in billing, and don't know the basics. There is a lot involved.

coding (basics), insurance, modifiers, bundling of services, non-covered, authorizations, etc etc

Title: Re: Different Types of Billing Claims
Post by: rdmoore2003 on March 12, 2010, 02:12:01 PM
I could not have explained it better... Pay_My_Bills
Title: Re: Different Types of Billing Claims
Post by: Pay_My_Claims on March 12, 2010, 04:41:53 PM
thanks rdmoore
Title: Re: Different Types of Billing Claims
Post by: satyav14 on March 15, 2010, 02:07:54 AM
Hi Pay_My_Claims, thank you for your reply.
Yes there are 2 types, Electronic and Paper Claims. I know few things even differece in values between Medicare and Medicaid and other tyepes. But i heard of different types of Claims like Satandard, Standard Attorney, Electronic Group, Statement Of Accounts etc.... Can u pls mention any differences in these type of Claims, can you pls give me any reference to read. Im concerning only about hcfa 1500.

the way your question is posed, you would need a book to read to get all your information.

2 typse of filing, electronic or paper

professional claims (physician, dme, etc)-hcfa 1500
technical claims (hospital, facility etc) ub-04

primary-#1 insurance which is filed first
2ndary claim, if they have a supplement, or medigap plan, that is filed secondary to insurance or medicare
tiertiary #3, third insurance filed

EX: I have medicare, BCBS, Medicaid... Medicaid will be tiertiary no matter what, but you have to determine which is primary the BCBS or the Medicare. It depends on various things this is called (cob) coordination of benefits.

You might want to take a course if you are interested in billing, and don't know the basics. There is a lot involved.

coding (basics), insurance, modifiers, bundling of services, non-covered, authorizations, etc etc


Title: Re: Different Types of Billing Claims
Post by: Pay_My_Claims on March 15, 2010, 05:54:55 AM
i would if i ever heard of them....sorry
Title: Re: Different Types of Billing Claims
Post by: PMRNC on March 15, 2010, 06:27:47 AM
Quote
Yes there are 2 types, Electronic and Paper Claims. I know few things even differece in values between Medicare and Medicaid and other tyepes. But i heard of different types of Claims like Satandard, Standard Attorney, Electronic Group, Statement Of Accounts etc.... Can u pls mention any differences in these type of Claims, can you pls give me any reference to read. Im concerning only about hcfa 1500.

You really can't learn these things via a message board. You need to invest in taking some sort of formal training. This isn't something you can just "pick up".
Title: Re: Different Types of Billing Claims
Post by: satyav14 on March 15, 2010, 08:01:32 AM
Its ok, thank you all for your replies.