Kalon Mitchell, president of transactions processing vendor MedTranDirect Inc., walks through the processes of getting paid by Medicare, and how to speed them up. In large measure, the tips in this comprehensive primer also apply to other health insurers.
Many healthcare providers have automated the transfer of CMS claim data and related files between their claims processing systems and CMS. Sometimes this is performed through their claims processing product and sometimes a separate service is used that involves a secure Internet connection or leased lines to conduct the file transfers. Examples include services offered by Ivans or ABILITY Network that specialize in this activity.
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