Insurance Online Claims Processing

By Nat Wynn

Wrap your tongue around that will ya?

The days of paper filing are coming to a grateful death. How many remember the tired old cliché we all got from the insurance companies-we did not get that claim. Insurance online claims processing took care of that problem-or did it?

It is funny that the more things change, the more they stay the same.

In the past when we filed paper claims those companies could always blame the post office. And never mind that you could attempt to trace where it went, that was about as useless as---well let's just say you would be better off looking around in your own trash can than getting a straight answer regarding the delivery of your mail.

I remember a HCFA that was mailed for a workman's comp claim. At least this one was delivered, but they alleged that there were no office notes with the claim form. Mind you that we stapled it in several places, so we asked for a photo copy of the claim form. Unbelievably they obliged and what do you think we could see? All of the staple holes where we had attached the office notes.

Now they say the clearing house did not send it to them. The process of following that is just about as onerous as the one with the post office, but at least we can track the transmissions. For us, most of our claims go direct to the payer through our direct links, but that is not the case in some of the very small insurance companies, so we must rely on the intermediary. I do not like it and I am constantly reaching out to go direct, but there is always that one new company sitting there that we have not yet had the pleasure of being told they do not have our claim. Medical billing whether paper or electronic, the insurance companies are always looking for ways to deny a claim. They don't need a good reason, just a reason.

The Wynn Group, Inc was founded by Nat Wynn in 1996 dedicated to helping physicians with medical billing and practice management by allowing them to focus on their patient while The Wynn Group focused on making sure each and every claim got paid. Visit us here