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Full Service Claims Billing

Is Electronic Billing (EMC)
the answer?

Yes and No…  of the major insurance carriers in our area only half will accept electronic claims.

Carrier ESD Capable
Blue Cross of Alabama Yes
Magellan Behavioral Health No (they say yes)
United Behavioral Health Yes
American Behavioral Benefit Mgrs No
Tricare/Choice Behavioral Yes
Behavioral Health Systems No
Value Options Yes

Filing Claims Electronically does shorten the claim payment period somewhat...... however, nothing replaces working the insurance claims and patient balances.... hands-on.

10% of your managed care claims will be initially rejected....

"How do we know?"

We study insurance company reimbursement patterns and will be glad to share these statistics with you and your staff. 97% of these rejections will be due to carrier processing errors! However, claim aging time can be reduced by knowing when to follow-up with the carrier.

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