​​​​​Secondary Insurance Claims

Did you know that our software knows when a claim can be sent electronically to the secondary Payer? We maintain a marker in the payer database that states whether a payer accepts secondary claims electronically.

 

When an insurance payment is entered manually or automatically via EOB Auto Apply, and the claim has a secondary payer and there is a remaining balance, the software knows when to set the charge status to “Send to Secondary via Clearinghouse”.

If the secondary payer does not accept secondary insurance claims electronically, the software will set the charge status to “User Print and Mail”. Secondary claims can be billed the same day the primary payment is applied, accelerating reimbursement.

 

So, what are the key benefits for you?

 

· Streamlined Revenue Cycle Management

· Improved Staff Productivity and More Accurate Billing

· Faster Reimbursement

· Reduced Errors

· Automation that Saves Time and Money

 

We have recently performed an audit of all payers in our payer list to ensure that we have the most current and updated secondary electronic claim status.

 

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Electronic Remittance Changes

Update: The Clearinghouse would like to make providers aware of the following requirement to enable PaySpan registration for electronic remittance for CPIDs 1748 and 6539 MVP Health Plans.

If your organization receives payments at the group level, MVP must have your group NPI on file in order for registration information to be sent to your office.

 

Please review the payer's website link for additional details and complete the form to have your group NPI on file with MVP. Providers will not receive registration information, or be able to register with PaySpan, if you have not supplied MVP with your group NPI. The Clearinghouse is currently working to obtain registration details, including registration dates, and will send additional information as soon as it is available.

Action Required: Providers should comply with the group NPI requirement to receive future registration information and notifications. Original Notice Sent on 10/14/2013: 

The Clearinghouse is currently working to obtain transition details and will send additional notifications as soon as they are available.

 

 

 

The 2014 MPFS Fee Schedule is Available!

 

​The 2014  Physician Fee Schedule (PFS) has been imported into RecWin and is now available for all users to reference within the Codes section under the Billing & Procedures tab, using the Pricing Wizard in all active versions.