| Where do my payments go? |
| All payments from Medicare and other Carriers
go directly to you. |
| . |
| What if I do not participate with
a carrier or H.M.O. |
| Integrated can bill any insurance carrier,
but that does not guarantee payment. If you are excluded from
an insurance carrier ( an H.M.O. or you do not have a provider
application on file with other carriers ) you should provide
the patient with the product they require and charge them cash.
Then you can submit the claim for them, or they can bill themselves.
Please call if you are not certain you can bill a patients insurance
or what the rules are governing that carrier. |
| . |
| How do I submit a claim to Integrated
for billing? |
| Simply fill out the Integrated Claim Input
Document which we provide tailored for you, and mail,
fax, or or enter the information with our HIPAA compliant Simply
fill out the Integrated Claim Input Document (view sample CID),
which we provide tailored for you, and mail, fax, or or enter
the information with on HIPAA compliant web applications. |
| . |
| Why do you need copies of all E.O.M.B.'s
? |
| You will need to forward to us EOB's from all
payers post those payments you have received and identify what
monies patients owe you for non-covered fees. |
| . |
| What happens if something does not
get paid? |
| If Integrated generated the claim, it's because
it is believed it will be paid. We don't make claims that risk
being denied. But claims are denied all the time on the first
submission. Integrated resubmits (at no cost to you) claims denied,
Integrated reviews the E.O.M.B. to determine why the claim was
denied for you. If the denial was because the patient is not
insured by the carrier, the patient did not present you with
valid insurance carrier information. Many seniors will show you
a red-white and blue Medicare card, and they haven't been Medicare
for years. In those cases, the other carrier may be able to be
billed, or the patient should be charged. |
| |