Applicable law or proposed law in many states, including Texas, California, Minnesota, Iowa, Maine and Georgia requires electronic transmission of Workers’ Compensation bills. While electronic transaction rates are extremely high for other lines of business, Workers Compensation (WC) claims have historically been very difficult to transmit electronically due to the high percentage claims which require claim attachments.
Receiving WC claims and their attachments via paper causes a number of challenges for payers. Lost efficiency due to required manual handling, decreased accuracy from claims paired with incorrect attachments, storage and retrieval, and timely adjudication while waiting on requested documentation are just a few of the “opportunities” in the WC line of business.
Emdeon’s current beta test in Texas of a new capability to transmit electronic claims, or eBills, and their accompanying claim attachments, offers the potential for dramatic improvements to WC administration. By streamlining submission and bill processing for jurisdictional ASC X 12N 837 Workers’ Compensation bills, Emdeon eliminates the barriers that had previously complicated the acceptance of eBill traffic from healthcare claim subscribers, thereby helping deliver clean bills to payers.
With this new solution, Emdeon offers the ability to reduce the amount of manual bill processing that often depletes staff productivity for both healthcare payers and providers. Additionally, Emdeon’s electronic processing solution helps reduce the potential for error.
Emdeon WC eBills & Attachments simplifies provider submission of WC bills to payers by integrating bill attachments into existing provider workflows for submission of electronic (837) claims. The electronic link between the claim and attachment enables WC payers to receive bills electronically, versus on paper, improving efficiency and decreasing administrative costs. Emdeon’s process for eBills follows current provider and payer workflows for sending/receiving any other electronic group health or government claim.
Attachments can be sent by two methods: either uploading an electronic attachment, or printing a bar-coded fax cover sheet. The bill and attachment are processed and linked, then sent to the payer. Providers also receive claim status reports and ERAs for the WC claims.
This new capability represents another example of how Emdeon enhances the value of its industry leading healthcare information network to deliver innovative services to the marketplace. To learn more about Emdeon WC eBills & Attachments, contact your account manager, call us at 877.EMDEON.6 (877.363.3666), or email us at moreinfo@emdeon.com.
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Workers' Compensation Simplified by Electronic Transmission of eBills and Claim Attachments
