4/27/12: Horizon BC/BS ANSI Upgrade Errors
There are currently several problems related to the ANSI Upgrade at Horizon BC/BS. CB&C clients can listen to a replay of the April 22, 2012 teleconference here. Call or email the office for the password to the recording. Current CB&C clients also view a template (same password) of a letter to patients explaining the issue. Also see the horizon message describing one of the ‘sub’ issues of the system error which has been named ‘incorrect payee alert’.
7/22/11: Deciding whether to participate in BC/BC
Chiropractors ponder the question whether to participate with BC/BS. Lynette Contreni Bernier discusses things to consider in making the decision in an article in New Jersey Chiropractor (Summer 2011).
11/4/10: ANJC Appeals Program
CB&C is involved in supporting the ANJC Appeals Program. This is a program to assist members with Levels I, II and External Appeals procedures. ANJC has earmarked funds to cover the $25 DOBI fee and additional costs to process these types of claims, if they qualify. This benefit is for Par and Nonpar ANJC members; but please review the process to see if your claim qualifies.
7/20/10: Chiropractic Insurance Verification
A properly done verification can maximize the insurance reimbursement and the patient reimbursement, minimize time spent on followup and improve the overall function of the chiropractic office. Yet many offices continue to only obtain basic information when making those verification calls. This article provides five of the most important questions that are seemingly still being omitted from the verification process.
1/25/10: BC/BS vs. Horizon BC/BS
There are many different BC/BS carriers doing business across the U.S., all with different policy guidelines related to covered CPTs for chiropractic, fee schedules, etc. The truth is, Horizon BC/BS is different from Empire BC/BS just as Cigna differs from Aetna, etc. So what might that mean for you?
9/19/09: Coordination of Benefits: How Does It Effect Reimbursement?
Amazingly, many providers have little understanding of COB. They have no clue what it is, why it is important, or how it effects insurance reimbursement. As a matter of fact, offices think COB doesn’t even effect their claims—I promise you it does!
10/23/08: Highmark Medicare Services – Time is running out!
Are you prepared for the transition from National Government Services (NGS) to Highmark Medicare Services which is taking place November 14, 2008? While we’ve been advised that it is not necessary to fill out the very extensive applications again, they do require a completed EFT form. With that EFT form, did you include a letter asking to continue to receive paper remittances for those of you who were already receiving and wish to continue receiving paper EOB’s? Please also know that there are forms currently being used that are different than what is being used for Highmark. The good news is the web-site seems to be very user friendly and most of the diagosis codes we are all familiar with in dealing with NGS, seem to be the same with Highmark.