You Be the Billing Expert:
Recouping Missed Payments
Published on Tue May 19, 2009
Question: Ive landed a job with a private practice where no one seems to follow up on unpaid claims. I am finding open claims for 2005-2007 that were sent to insurance but the practice never received a response. The original claims met the timely filing deadlines. Can I pursue the money, or should it just be written off? Colorado Subscriber Answer: The insurance companies accept the payer claim acceptance reports to the electronic clearing-houses as proof of timely filing. If your practice kept copies of these reports, you can prove that the practice submitted the claims in a timely basis, and you can fight for payment. Keep in mind: Depending on the clearing-house that your practice uses, you may be able to ask the clearing-house for copies of the payer claim acceptance reports for the practice to prove timely filing. If you have access to those reports through the clearinghouse, [...]