Insurance claims

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Carroll S. Jackson

• July 12, 2019 16:24

I have claims to Anthem that have been in the accepted phase for up to 17 days. Is that typical? What is the usual turn around time for claims billed to Anthem?

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  Gillian

  • July 15, 2019 21:21

  Hi Carroll, I'd be happy to help. Insurance payers pay claims on different schedules depending on the payer. Can you clarify what state you're in, and whether you've reached out to the payer to check in with them regarding the unpaid claims?

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  Sherry Toler

  • July 22, 2019 21:44

  Hi. I am trying to change the first two claims on a client's billing section from self-pay to insurance. The client has insurance, these 2 appointments have not gone toward her deductible and they should have. There is no edit button on the billing section for these two particular claims like there are the rest of them, for me to change it to insurance. These were from May and June 2019. This is very frustrating. I also cannot send a help desk ticket. Someone please help me. 

   

  Thank you, 

  Kathryn Jackson - Office Manager 

  Sherry Toler Counseling, LLC 
  Kathryn@officemanager.business 

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  Gillian

  • July 23, 2019 18:20

  Hi there, I'll have a member of my team reach out to assist with this today.

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  Holly Graham

  • August 02, 2019 19:06

  Hi I have a claim that had been in the accepted phase for 31 days now and was wondering why it is taking so long to be paid?

   

   

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  Gillian

  • August 02, 2019 21:48

  Hi Holly, have you had a chance to reach out to the insurance payer regarding the delay?

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  Gabrielle F. Shirdon

  • September 10, 2020 18:37

  I switched my client from self pay to insurance because I got paneled with their insurance company. Now when I add a claim to submit it will add some of the previous appointments that are self pay and shouldn't be on there. How can I fix this?

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  Ruth

  • September 16, 2020 03:31

  Hi Gabrielle - If you're using the Billing > Insurance > Unbilled Appointments page to create batch claims, only the appointments marked as Insurance Pay appointments will be included in claims created. From your client's Billing page, any appointment in the set date range will populate into claim when you click +Create New > CMS 1500/ Claims Form. In your client's Billing page, please click on each appointment to make sure the right ones are marked Insurance Pay and the older ones are marked Self-Pay. Then create your batch claim for this client in Billing > Insurance > Unbilled Appointments. Hope that helps! 

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  Maryse Nieves

  • September 09, 2021 17:26

  I have a claim that's been "accepted" but not paid since back in May 2021.  Claims prior to and after have been paid.  Should I resubmit?

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