Author Topic: Worker's Comp Payment  (Read 1422 times)

binta.patel

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Worker's Comp Payment
« on: December 04, 2015, 06:02:05 PM »
Dear All,

We need your guidance on Workers Comp related payment challenges.

We have a pain mgmt. provider who sees 95% patients with WC insurance. We are having tough time getting hold of the adjuster after multiple voice mails.
Do you have any advice on how we can get payment from WC companies?

Any guidance is truly appreciated.

Thank you,
Binta

kristin

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Re: Worker's Comp Payment
« Reply #1 on: December 04, 2015, 07:00:19 PM »
Are your claims being submitted cleanly, with the treatment notes for each DOS, etc? WC claims can be tricky if not done exactly right. Usually, they want the case number listed as the member ID, the DOI must be on the claim, treatment notes submitted with each claim, etc. If all of this has been done, and you are not being paid timely, and the adjuster is not returning your calls, have you tried calling and speaking with someone else, like a general customer service rep?

binta.patel

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Re: Worker's Comp Payment
« Reply #2 on: December 04, 2015, 08:26:35 PM »
Thank you Kristin,

Yes we are submitting the claim with all the treatment notes, DOI and authorization information. may be should try calling the general cust service rep.
Anything else we can do to expedite the payment?

thank you much,
Binta

PMRNC

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Re: Worker's Comp Payment
« Reply #3 on: December 05, 2015, 10:03:31 AM »
If these are ERISA policies, go right to the employer!
Also with 95% WC cases are you using LOP's with Attorney cases?
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

binta.patel

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Re: Worker's Comp Payment
« Reply #4 on: December 07, 2015, 12:38:27 PM »
Thank you.

Oscar12

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Re: Worker's Comp Payment
« Reply #5 on: December 10, 2015, 09:26:39 AM »
Another thing to look at is how your provider is set up with workers comp vs how they are set up with Medicare and/or commercial insurance.  You may need to set things up differently in your billing software to get the correct ID number in the correct part of the form.

giashaun41

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Re: Worker's Comp Payment
« Reply #6 on: January 31, 2016, 09:57:12 PM »
This happened to me all too often and what I started doing is requesting the name of the Supervisor or Branch Manager. I also noticed the adjuster's will respond a lot faster to emails, so I obtained the format of email addresses for all the insurance companies that I had claims with and i would send an email to the Supervisor and Branch manager and cc the adjuster.

This usually got a lot of things accomplished for me. I was top Work Comp collector at the company that I worked for not only because of my method, but also because I was very professional.

Happy Collections!!!!!!!!