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BILLING MANUAL EFFECTIVE JANUARY 1, 2015, billing simplified more coordinated, less complex. CoordinatedCareHealth.com Claims Filing Instructions Updated January 2015 WAPBM051512 Provider Services
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How to fill out billing manual claims filing
How to fill out billing manual claims filing:
01
Gather all necessary information: Before starting the process, make sure you have all the required information such as patient's personal details, insurance information, treatment dates, and codes.
02
Review the billing manual: Familiarize yourself with the billing manual provided by the insurance company. This manual will guide you on how to correctly fill out the claims form and provide any specific requirements or instructions.
03
Complete patient information section: Start by filling out the patient information section of the claims form. Include the patient's name, address, date of birth, insurance policy number, and any other relevant details.
04
Provide treatment details: Next, accurately record the treatment details. This includes the dates of service, the specific procedures or services rendered, and the corresponding billing codes for each treatment. Ensure that you use the correct codes and descriptions as specified in the billing manual.
05
Include supporting documentation: Attach any necessary supporting documentation to the claims form. This may include medical records, diagnostic reports, prescriptions, or any other relevant documents that validate the services provided.
06
Verify insurance coverage: Double-check the insurance coverage for the specific treatments or services being claimed. Ensure that the services are covered under the patient's insurance plan and that any necessary pre-authorization or referrals have been obtained.
07
Calculate and enter charges: Calculate the charges for each service provided and enter them accurately on the claims form. Pay attention to any specific billing requirements or limitations outlined in the billing manual.
08
Submit the completed form: Once the claims form is completed, review it for any errors or missing information. Make sure all required fields are filled out correctly. Sign and date the form, and submit it according to the specific submission guidelines provided by the insurance company.
Who needs billing manual claims filing?
01
Medical practitioners: Physicians, surgeons, dentists, and other healthcare providers who offer services eligible for insurance reimbursement need to fill out billing manual claims.
02
Medical billing professionals: Individuals responsible for handling the billing and claims filing process on behalf of healthcare providers also need to be familiar with billing manual claims filing.
03
Insurance companies: Insurance companies require medical practitioners or their billing representatives to accurately fill out billing manual claims forms in order to process reimbursement for the medical services provided.
In summary, filling out billing manual claims filing requires attention to detail, adherence to the insurance company's guidelines, and accurate documentation of patient information and treatment details. It is crucial for both healthcare providers and billing professionals to understand the process to ensure timely and proper reimbursement for the services rendered.
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