Blog: Daisy News

News, data, & insights about workers' comp billing

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The Essential Guide to Correct Electronic Billing Processing

September 4, 2014 by Catherine Montgomery

In advance of today’s webinar on electronic billing, I’m posting an example of electronic bill processing that we will be using in the webinar. This is the second time we’re giving this webinar because there’s been so much interest and because, let’s face it, electronic billing is tough to get right unless you know what you’re doing.

The screenshots show the history of an actual original electronic bill that we submitted to Sentry Insurance, which in this example did a great job of electronic claims processing.

This history shows what DaisyBill submitted, and when, as well as the deadline by which Sentry must send an electronic EOR.    

Next, the history shows Sentry’s clearinghouse, StoneRiver P2P, accepting the original bill submission, one day after DaisyBill transmitted the bill, and then forwarding it to Sentry.  StoneRiver and Sentry observed the mandated timeline of two days.

Finally, eight days after DaisyBill submitted the bill, Sentry sent back an electronic EOR.  This is fully nine days before the deadline of 15 working days, so good on them!  Note that if the original bill is electronic, then the EOR must also be electronic.

In a later post, I’ll dissect the electronic EOR and the subsequent electronic Second Bill Review.

For more information on electronic billing for work comp, visit the Webinar Library:

WEBINARY LIBRARY

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