General Category > General Questions

Chiro reimbursements timeframe

(1/3) > >>

QueenAlicia:
Is there a time frame that it takes Chior's to be paid?  I have a Chiro in WI that states it take 30-45 days to get paid from insurance when claims are filed electronically.  I thought was off because I have seen checks sent out a few days after filing.  Is this Chiro or state specific?

DMK:
Blue Shield of CA pays us in 7 days (filed electronically).  Blue Shield out-of-state plans pay in about 14 days.  Blue Cross is about 14.  Medicare PROMPTLY pays in 14 days (electronically paid).  Worker's Comp is 30 working days. Personal Injury varies from company to company, but in California, ALL companies are supposed to pay in 45 days MAXIMUM unless they require other information or authorization.

My WORST payers are United HealthCare and CIGNA.  It's like pulling teeth to even figure out WHERE to send bills, and that's ELECTRONICALLY!!!!  They all have the same E-payor number but they sure know how to lose a claim!

QueenAlicia:
That's what I thought! I have never seen a panel take that long even with my EAP providers. I haven't had many issues with Cigna, they usually pay or cut the check 2 days after filing.  My only issue with Aetna is how they send the check to the patient and the patient spends the money instead of paying the provider.  However, this provider is in Wisconsin so I don't know if it is a state specific issue.  My provider also stated that there is a group of providers in her state that have a centralized billing system/dept and they have seen that time frame as well.  Boy, I can't wait to prove it wrong and get the reimbursements in faster. ;)

DMK:
What's your secret with CIGNA?  They are the biggest pain in the butt for me! 

CostCo employees have Aetna, and Aetna always pay me direct.  Are your providers OON?  I do have to get all my EOB's online from Aetna, but I get the check, so it's a few mouse clicks to get the EOB's.  They pay a little slower, but they pay well.

QueenAlicia:
I actually have no secret. I just make sure the claim is clean and then I check the report daily.  However, I will say that this provider would wait awhile to send me the EOB's so I had to go into cigna to pull it of the site.  I noticed that I would file one day and 2 days later the check was issued.  They are the easiest payer so far. I just have to repeatedly remind the provider about collecting copay.  It could depend on the specialty too  :-\

Navigation

[0] Message Index

[#] Next page

Go to full version