This information on filing medical billing claims is intended to help medical billing professionals and is not intended for patients or the general public. The surgeon's office has information that the medical biller in the anesthesiologist's office may not have so it is important to work together. Sometimes the surgeon's medical billing team has information such as the correct billing code that the anesthesiologist's office does not have for example.
Sometimes you need information from the surgeon such as pre-existing condition information as requested by the insurance carrier. Call the surgeon's office and ask if they were paid for that date of service. Then if the surgeon was paid ask if they have the authorization number. Verify the patient's home phone, address and the insurance identification information. If the surgeon wasn't paid ask how they are handling this account or if they got paid for the date of service.
The difference between the anesthesiologist’s bill and the surgeon’s bill is that the surgeon’s bill is a flat fee but the anesthesia bills are calculated by the anesthesia time. IME stands for independent medical examination.
Whenever you don't have record of a doctor then you need to look for that doctor in a surgeon's directory.
Here are some addresses to send claims, corrected claims and appeals to.
Chesterfield Resources is the insurance company for people who work for The Salvation Army.
Chesterfield Resources
P.O. Box 1884
Akron, OH 44309
Phone: 800-321-0935
The patient's social security number is the identification there.
Pacific Life & Annuity Benefit Fund
P.O. Box 33699
Phoenix, AZ 85067
Phone: 800-729-8545
ULLICO
Union Labor Life Insurance Co
Claims address:
ULLICO
P.O. Box 61593
King of Prussia, PA 19406
The correct claims address for Comprehensive Benefits is below.
CBCA Administrators
P.O. Box 9001
London, KY 40742
Phone: 877-611-0805
If you make the mistake and send it to the claims address below they will say that there is no claims on file because that is the incorrect claims address.
For example, do not send Comprehensive Benefits claims to the address below.
Comprehensive Benefits
1800 Walt Whitman Road
Melville, NY 11747
Phone: 631-306-5100
Hollow Metal Trust Fund
87-80 153rd Street
Jamaica, NY 11432
Magnacare
Phone: 800-352-6465
Evercare Claims Department
Evercare Claims
P.O. Box 659754
San Antonio, TX 78265-9754
Phone: 800-393-0993
If you are submitting anesthesia bills to Evercare use code 99100 and use the definition from the RVG which is the relative value guide.
International Benefit Administrators
100 Garden City Plaza
Garden City, NY 11530
Beth Israel Medical Center’s Liason for Hospital Billing is Mr. Michael Sylvester. Send the HICFA to:
Michael Sylvester BIMC
Managed Care Division
555 W 57th Street - 5th Floor
New York, NY 10019
All images on this intel are from Photobucket.com.
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Contributor's Note
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