Payments > Patient Billing

timely filing

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catooch:
Hi,

I work for a small chiropractic office.  Somehow in the chain of command we overlooked submitting the necessary paperwork for authorization.  The insurance company is ACN. I called them today and they said to submit all necessary paperwork and a letter as to when we would like the begin date to start for this patient.

Should I state that we mistakenly overlooked submitting this paperwork or make up an excuse?  I don't know how to handle this situation, because it is for 9 dates of service.

Help........

Thanks, Cathy

Michele:
Cathy,

   The best policy is to be honest.  I would write up the appeal and word it something like "due to a clerical error the paperwork was mistakenly not submitted properly (or timely, or something)"  There is no guarantee they will post date the authorization but it's certainly worth a try.  We have found providers in this position, filed the appeal for them, and in many cases they will back date the auth. 

Good luck!

Michele

catooch:
Michelle,

Thanks I'll give it a try..................

Cathy

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