Medical Billing Forum

General Category => General Questions => Topic started by: pamelawt3 on March 29, 2010, 10:49:02 AM

Title: letting the ins companies know i will be filing claims
Post by: pamelawt3 on March 29, 2010, 10:49:02 AM
what forms do i use to let the insurance companies- aetna, cigna, medicare,BCBS etc know that i will be filing claims from my home office. i will be using availty and office ally as the clearinghouses and have my forms filled out and ready to go once i have signed my first provider. i just don't know how to inform the insurance companies that i will be submitting claims.
Title: Re: letting the ins companies know i will be filing claims
Post by: PMRNC on April 03, 2010, 01:40:10 PM
You only need to advise Medicare that you will be the claims submitter, all of your clients will be setup with your clearinghouse under your account. With Medicare you have to submit a change in submitter request using form 855 (depending on the practice)
Title: Re: letting the ins companies know i will be filing claims
Post by: lgentle on May 20, 2010, 11:08:29 AM
Do you have to notify medicare everytime you get a new provider or is one form enough? Where do you find this form? Thanks :)
Title: Re: letting the ins companies know i will be filing claims
Post by: Michele on May 20, 2010, 08:33:37 PM
Are you talking about notifying Medicare that you will be billing for the provider?  If you are submitting electronically, you will need to do paperwork each time to get 'permission' to submit claims electronically on behalf of the patient.  EDI forms are available on the Medicare carriers website.  But you also are supposed to notify Medicare that you are the billing agent by completing the appropriate cms form available on the cms website.  http://www.cms.gov/CMSForms/CMSForms/list.asp

Michele
Title: Re: letting the ins companies know i will be filing claims
Post by: lgentle on May 21, 2010, 10:52:59 AM
What is EDI stand for? Thanks for all your help. Sorry for all the ques. but I am very new at this.
Title: Re: letting the ins companies know i will be filing claims
Post by: Pay_My_Claims on May 21, 2010, 05:18:47 PM
Electronic Data Interchange
Title: Re: letting the ins companies know i will be filing claims
Post by: PMRNC on May 22, 2010, 10:47:49 AM
Quote
What is EDI stand for? Thanks for all your help. Sorry for all the ques. but I am very new at this.

Are you taking any courses? I only ask because in another post you mention putting together contracts, yet there seems to be a lot of things you should know already if you are ready for a contract. I don't mean to be harsh but not knowing what EDI, PIP etc.. could mean you are in over your head if your just starting. It would greatly benefit the future of your business to get some training/courses first. I say this because I care, not to belittle you in any way.
Title: Re: letting the ins companies know i will be filing claims
Post by: lgentle on May 24, 2010, 12:50:19 PM
Yes I am new at this. I don't know much about being a medical biller but if you know of any schools or training I could take please let me know who they are. My boss is wanting to open a medical billing co. and I am trying to find out what you need. Any help you can give me would be great.
Thanks lgentle
Title: Re: letting the ins companies know i will be filing claims
Post by: Pay_My_Claims on May 24, 2010, 01:26:39 PM
what type of work do you do now?
Title: Re: letting the ins companies know i will be filing claims
Post by: lgentle on May 24, 2010, 06:32:23 PM
I work in a group who design computer programs for the government and we also do taxes and accounting. I just graduated college with a degree in Administrative Assisted with Accounting. It is a great place to work but my boss whats to open a medical billing office.  So I am doing all the research.