Comments on: ALERT: Minnesota Healthcare Providers http://practicemanagementsolutions.wordpress.com/2008/11/11/alert-minnesota-healthcare-providers/ Mon, 15 Dec 2008 17:13:02 +0000 http://wordpress.com/ hourly 1 By: oncallstaffing http://practicemanagementsolutions.wordpress.com/2008/11/11/alert-minnesota-healthcare-providers/#comment-7 oncallstaffing Mon, 15 Dec 2008 17:13:02 +0000 http://practicemanagementsolutions.wordpress.com/?p=196#comment-7 The guide put out by the UAC is not crystal clear but suggests that you will submit the claim electronically with an attachments code and send the paper attachments separate with that code. I think the matching process will be a nightmare. Because of this very issue, it would have made more sense to me to require the electronic remits first, then the claims later so that providers could get their systems updated for auto posting of the EOBs which would help with secondary submissions and eliminate the need for attachments. Also, there is encouragement but no mandate for payers to coordinate benefits based on secondary information submitted on the claim, for group purchasers that have agreements. But you're right, the payers have to update their systems to accept and process electronic secondary claims. We shall see. The guide put out by the UAC is not crystal clear but suggests that you will submit the claim electronically with an attachments code and send the paper attachments separate with that code. I think the matching process will be a nightmare. Because of this very issue, it would have made more sense to me to require the electronic remits first, then the claims later so that providers could get their systems updated for auto posting of the EOBs which would help with secondary submissions and eliminate the need for attachments.

Also, there is encouragement but no mandate for payers to coordinate benefits based on secondary information submitted on the claim, for group purchasers that have agreements.

But you’re right, the payers have to update their systems to accept and process electronic secondary claims. We shall see.

]]> By: Julie Fries http://practicemanagementsolutions.wordpress.com/2008/11/11/alert-minnesota-healthcare-providers/#comment-6 Julie Fries Fri, 12 Dec 2008 18:56:51 +0000 http://practicemanagementsolutions.wordpress.com/?p=196#comment-6 Does this statute also apply to secondary claims? If it does, will the payers be ready to accept? We are ready but it's at the payer level where they are not ready to accept. Does this statute also apply to secondary claims? If it does, will the payers be ready to accept? We are ready but it’s at the payer level where they are not ready to accept.

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