Physicians deserve to be reimbursed promptly for the medical
insurance billing leaving their office. Often it is not
realized just how crucial a role various positions in an office
play. To ensure the quick and prompt payment of medical
insurance claims to which you are entitled, you must make
certain the staff you employ will be diligent in their efforts
to assure a smooth transition from data entry to claim
submission to the final payment of the medical insurance
claim.
I cannot stress enough how critical a role data entry of
patient information is for the prompt payment of medical
insurance billing. From the time the patient calls to
schedule the appointment it is imperative that all
information collected and entered into the computer system
be valid and correct; without it, the claim will certainly
deny, requiring the medical biller to go on a hunt to
locate the problem or missing information. Something as
simple as an incorrect digit in the date of birth or
insurance identification number will cause a non-payment of
a medical insurance claim.
The medical insurance biller is not the only person who
will be involved in the gathering of information needed for
the billing of a medical insurance claim. The receptionist
making the appointment will often be the only person who
collects the vital personal and insurance information
needed to send a medical insurance claim; therefore, it is
extremely important to know what information is necessary,
and to enter all of the information accurately.
Patient information will include not only the patient's
personal information; it will also include that of the
insured. The relationship between the patient and insured
is also needed. The specific personal information to obtain
from both the insured and the patient will include their
dates of birth, addresses and telephone numbers. The
insurance information which is necessary includes the name
of the insurance company or companies, telephone number and
address to submit claims, the policy number, group number
and employer of the insured.
Health history information should be obtained as well to
include the specific reason for which the patient is making
the appointment. The name of the physician referring the
patient is also needed, if applicable, as well as the
medical billing information for that physician. If the
patient was in an accident, the date, type and place of the
accident is also crucial to the filing of the medical
insurance claim. Depending on what type of accident and the
location of its occurrence will depend on what type of
medical insurance will be billed. For instance, if the
patient was in a work related accident, he will have
workers compensation insurance, just as an auto accident
will be billed to the automobile insurance.
In closing, let me state again just how imperative it is
to employ a competent and reliable staff in order to make
certain your patients' medical insurance claims are paid as
rapidly as possible.