Still Stuck in Paper Claim Submission

Electronic claim submission maximizes claims processing efficiency and paper submissions do not. Any claim that can be submitted on paper can be submitted electronically, the information required to file electronic claims is the same as for paper claims but there are major advantages to submitting electronic claims versus paper claims

Advantages of Submitting Claims Electronically:

  • You have better control and accuracy. Electronic claims are entered in the Insurance Carrier computer system just the way they leave your office. There is no need to worry about a claim being delayed or denied because it is not legible.
  • You know when your claims are received because your office receives special reports detailing which claims were accepted and if there is a problem you can correct it before the claim is processed.
  • You are able to reduce your overhead; electronically submitted claims can save hours of clerical time. You do not have to spend time typing, stapling, stamping and mailing.

Disadvantages of Submitting Paper Claims:

  • The chances that your paper claims will be manually keyed due to form deviation are very high. There is great variety in the UB-92, CMS-1500 (12/90) and CMS-1500 (08/05) forms that insurance has received. When the form that you are using is not up to US Government Printing Office specifications the claim must be manually processed and will be delayed.
  • Once the claim has to be manually keyed, there is a high rate of error due to undecipherable text.
  • A duplicate paper claim of an electronic claim will deny and slow down the claim payment process.

At MTM, we have relationships with multiple clearing houses which enable us to make sure we submit all the providers’ claims electronically to all the insurance carriers for all types of claims, including Group Health, Medicare/ Medi-Cal, Workers Compensation or Personal Injury, in return reducing the cost to submit claims and paper management.