Nothing is ever simple when it comes to getting insurers to pay up.
As if putting together medical claims in the format and style insurers prefer isn’t enough – insurance companies and government entities will send payment along with one of these sometimes confusing and often aggravating forms:
- Explanation of benefits (EOB) identifying what was paid, adjusted, or denied – and why (on a paper form)
- Electronic remittance advice (ERA), considered a digital version of the EOB.
The EOB and ERA are then reconciled against the original bill for medical services to identify what remains due to your practice. Oftentimes, this means billing the patient. Sometimes, it means disputing an insurer’s actions.
If you require medical billing help, CareMed Partners can help. Our medical billing professionals are trained and experienced in translating the various reason and remark codes insurers use when they submit payments to healthcare providers. We work with you, within the framework of your billing policies and needs concerning adjustments, write-offs, refunds, and more.
We are mindful when electronically posting payments for you. We understand that timely posting of payments to the correct patient account is of the utmost importance, whether the payment is coming from insurers or your patients themselves. It is what allows a quick and accurate accounting of who owes what – and can help determine next steps.
Want to know more about our payment posting services? Call CareMed Partners today at (877) 271-2645 and start getting the medical billing help you need.