New Mandates in Medical Billing

Recently we have seen more mandates regarding the medical billing field.  Our local Blue Cross recently offered direct deposit by signing up for ERAs and switched from Payspan to another service.  Most of our providers opted for the direct deposit but when the ERAs started coming through in a totally different format than providers were used to we had one provider in particular who didn’t like the new format and wanted to go back to the old paper checks and EOB.  We called Blue Cross to see if this was possible but were told that yes they could change back but soon it would be mandated and they would have to reapply then.

Also AETNA has announced that as of January 1, 2017 ALL claims must be submitted electronically.  They did send out a nice letter explaining what to do regarding appeals, attachments, secondary claims, corrected claims and COB information.

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