different way of submitting electronic claims
Electronic claims may be submitted using a variety of
methods:
• Provider Electronic Solutions software, provided at no
charge to Alabama Medicaid providers
• Value Added Networks (VANs) or billing services on behalf
of an Alabama Medicaid provider
• Tapes or other electronic media, as mutually agreed to by
the Alabama Medicaid Agency and the vendor
Electronic Claims Submission (ECS) offers providers a faster
and easier way to submit Medicaid claims. When you send your claims
electronically, there is no need to complete paper Medicaid forms. Your claim
information is submitted directly from your computer to HP.
If filing claims using the PES software, please refer to the
Provider Electronic Solutions User Manual for the appropriate claim filing
instructions and values. Electronic claims begin processing as soon as they are
received by the system. Paper claims must go through lengthy processing
procedures, which could result in
delayed payment on the claims. An electronically submitted
claim displays on the next Remittance Advice (RA) following the claim
submission. Unless your claim suspends for medical policy reasons, it should
finalize (pay or deny) in the checkwriting step.
All of the Electronic Claims Submission (ECS) options are
provided free of charge. Providers also have the option of using software from
a software vendor or programmer. HP furnishes file specifications at no charge.
If you have further questions or wish to order software, contact the HP
Electronic Claims
Submission (ECS) Help Desk at 1(800) 456-1242 (out of state
providers call (334)
215-0111).
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