This medical claims clearinghouse deals with thousands of doctors and millions of medical claims every month, reports a pilot fish working there.
“Early this week, I was asked to research why a new client wasn’t getting his reports back,” fish says. “I looked into it.”
Fish determines that the client wasn’t getting the reports because they weren’t being generated by the system.
And they weren’t being generated because the claim information was never loaded into the system.
And that’s because the client’s own system wasn’t producing valid electronic medical claim documents.
When that happens, an email is generated about the problem — not automatically, but manually by someone on staff at the clearinghouse who regularly informs IT about any new clients with problems getting their claims through the system.
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