Why would the balance to payor B be paper?
The provider should be following model 2 of the COB process.
Tami Leaver
Sr. Application Analyst
Medstar Information Systems
410-933-6905
email: [EMAIL PROTECTED]
"Jonathan Fox"
<JFOX%independenthealth.com@interne To:
<[EMAIL PROTECTED]>
t.mhg.edu> cc:
Subject: COB
Explanation of Benefits
03/29/02 09:12 AM
Please respond to
transactions%wedi.org
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?"
Any thoughts or suggestions would be very helpful.
Thanks.
Jon Fox
eCommerce Analyst
Independent Health
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