--- You wrote: I have a question regarding Explanation of Benefits in an 837 environment.
"Provider submits an 837 claim to Payer A. Payer A sends back an 835 electronic remit. Balance to Payer B has to be submitted on a paper claim form. (for whatever reason) Payer B requires that an explanation of benefits is sent along with the claim. What does the provider send to Payer B if there is no hardcopy of the 835 remit?" --- end of quote --- We have addressed the issue you bring up. Even though we have (for now) paper remits in addition to the electronic versions from our "payer A's", we worked out a process to create an EOB from the data so we would not have to go through the arduous task of making and matching copies to paper claims. We produce a claim and an EOB for each patient as part of our secondary claim runs. We created a paper version of the EOB that is nearly identical to the PCPrint format that Med A provides to create paper docs from their files. Our thought was that payers are already familiar with this layout and were more likely to find it acceptable this way. When asked, we've explained that the paper version is created from the data file, just as we do with medicare. This has been almost universally accepted by our "payer B's". -Chris Healy Dartmouth-Hitchcock Medical Center PFS-Billing Support Mgr 603-650-3730 ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. =====================================================The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited.
