• IHBS uses an Aged Outstanding Claim report to discover when carriers do not respond to claims
  
• Reports are run by carrier, based on promised turn-around time
  
  • Medicare: 10 days after claim submitted
    
  • Medicaid Wisconsin: 7 days after claim submitted
    
  • Illinois Public Aid: Web based verification of claims in process
    
  • Managed Care: Blue Cross Blue Shield and various others, day payment promised
    
  • Internet claims adjudication tracking for most contract carriers
    
  • Workers Comp: 7 days after claim submitted
    
  • All others: begin 6 weeks after claim submitted
    
• Direct phone contact with the payer is often the best way to discover problems and provide necessary missing or incorrect information

« Back