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.