November 3, 2017
Why Work Comp e-Bills Require Multiple Clearinghouses
Here’s a question we often get: “Our office sends our electronic bills to a clearinghouse. Why do so many of them never reach the insurance carrier?”
Clearinghouses claim to scrub and electronically submit bills to all payors, theoretically making them easy to pay. In reality, clearinghouses often mismanage e-bill delivery, resulting in delayed or outright lost bills. We know this first-hand — not only do we hear constant “lost bill” stories from providers, we’ve had our own bad experience.
This post is a cautionary tale about how providers cannot rely on a single clearinghouse.
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September 8, 2017
Clearinghouse Makes False Claims About E-Billing
Multiple providers allege that a major clearinghouse fed them inaccurate information about electronic billing in California. According to these providers, the clearinghouse in question insists that many claims administrators do not accept e-billing for worker’s comp, necessitating paper bills. In truth, every major claims administrator in California does, in fact, accept e-bills.
This casts serious suspicion on the clearinghouse’s motives.
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