Supporting Documentation · Dec 6, 2022
318-22 Exhibit A-Coronis Health for Emergency Transport Third Party Billing - 2022.pdf
22917c468ae5dc231fa435ee07e379e6e38a1c8bc0680bc37d9c55dd37aae2fdIndexed text · page 52
Show all pagesC&@)RONIS HEALTH Upon completion of the skip tracing review for each record Coronis Health shall determine patient eligibility for Medicare, primary and secondary insurance, if the claim is directly paid by the patient, or if the claim is ineligible for billing (i.e. Medicaid transport or special case transport). For all eligible patient claims, Coronis Health shall generate a claim for payment in the form of one of the following formats: @ A Medicare claim in either an NSF or ANSI electronic format, as applicable; @ An invoice for a claim to the primary insurance company. At the sole option of the insurance company, claim can be issued in other formats such e-mail, batch tapes, or disc. @ Aninvoice to the patient or responsible party. PCRs without the required medical release signature are not released to Medicare or the insurance company. Such claims shall be forwarded directly to the patient or provider to obtain the required signature(s). INVOICE SUBMISSION: Coronis Health’s staff are all highly qualified and trained in all Medicare, Medicaid, Automobile, Workers Compensation and Commercial Health Benefits. All employees are fully trained in Medicare and HIPAA compliance rules and regulation. We offer our clients HIPAA rules and regulations training for privacy and security. Our system not only meets Medicare and HIPAA compliance standards, but has been customized over the years to overcome almost every possible billing obstacle in order to attain our client’s revenue goals. Coronis Health maintains one of the highest rates of revenue returns per billed claim in the industry. The submission department at Coronis Health is responsible for generating all invoices after the billing entry has been completed. An additional quality assurance step relies upon software edits that report any errors in patient or payer fields. At this point in the process, errors are less than 0.25% (one error per 400 claims). Any errors are immediately corrected and the printed or electronic claim is created and forwarded to the responsible party for payment without delay. Ninety-eight percent of all claims are released for payment within five business days of receipt from the provider. All electronic claims transmissions are confirmed within 24-48 hours to insure receipt by the appropriate payers. Confirmation of paper claims, for private patients and those insurance
m the provider. All electronic claims transmissions are confirmed within 24-48 hours to insure receipt by the appropriate payers. Confirmation of paper claims, for private patients and those insurance companies that do not yet accept electronic claims, begin 10-14 days after printing. Reminder notices are mailed every 30 days thereafter up to 90 days, when collection notices are generated. 12
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