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1 Insurance Billing Unit Overview

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Page 1: 1 Insurance Billing Unit Overview 2 Who We Are Group of coders and insurance professionals who generate claims on behalf of registered providers for

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Insurance Billing Unit

Overview

Page 2: 1 Insurance Billing Unit Overview 2 Who We Are Group of coders and insurance professionals who generate claims on behalf of registered providers for

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Who We Are

Group of coders and insurance professionals who generate claims on behalf of registered providers for submission to commercial insurance companies for payment determination. The unit was created in 2008 to assist Early Intervention providers in maximizing insurance payments.

Page 3: 1 Insurance Billing Unit Overview 2 Who We Are Group of coders and insurance professionals who generate claims on behalf of registered providers for

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Benefits of Using Our Unit

1. Help to maximize insurance payments.2. Saves time for providers3. Access to speak directly to EI-CBO staff regarding

billing questions and issues.4. We bill both the commercial insurance and the CBO

on behalf of our providers.5. Entirely free to currently enrolled Early

Intervention Providers.

Page 4: 1 Insurance Billing Unit Overview 2 Who We Are Group of coders and insurance professionals who generate claims on behalf of registered providers for

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Benefit numbers

Page 5: 1 Insurance Billing Unit Overview 2 Who We Are Group of coders and insurance professionals who generate claims on behalf of registered providers for

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What We Do

1. Register providers and children.2. Code encounters.3. Prepare and submit insurance claims.4. Handle claims status follow up.5. Submit any requested information to insurance

carriers to assist in accurate claims processing.6. Prepare and submit appeals to insurance carriers.7. Prepare and submit secondary claims to the CBO.

Page 6: 1 Insurance Billing Unit Overview 2 Who We Are Group of coders and insurance professionals who generate claims on behalf of registered providers for

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4 Easy Steps

1. Register as a Provider2. Register the child3. Submit encounter forms4. Submit EOB’s

Page 7: 1 Insurance Billing Unit Overview 2 Who We Are Group of coders and insurance professionals who generate claims on behalf of registered providers for

Provider Registration

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Provider Registration (required forms)• Provider Registration Form • Conditions of Registration • eCare Release Form • Availity Release Form • Navinet Release Form

Page 8: 1 Insurance Billing Unit Overview 2 Who We Are Group of coders and insurance professionals who generate claims on behalf of registered providers for

Participant registration and Encounters

Participant Registration (required forms)• Participant Registration Form • Evaluation and Script• PSY and SW, script is not required

Submitting Participant Encounter Forms*• Participant Encounter Form

Submit EOB• No matter the outcome of a claim we need providers to submit us the

EOB.8

Page 9: 1 Insurance Billing Unit Overview 2 Who We Are Group of coders and insurance professionals who generate claims on behalf of registered providers for

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Contact Information

1. Website: www.eicbo.info/2. Fax- (217)492-56293. Email- [email protected]. Telephone- (800)634-8540

Page 10: 1 Insurance Billing Unit Overview 2 Who We Are Group of coders and insurance professionals who generate claims on behalf of registered providers for

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Questions?

Thank You!!!