Best Practices – Provider

Practice
The provider has a system to track claims submitted and paid/unpaid. The agency has a spreadsheet with detailed information about service authorization amounts, as well as limits and claims submitted. Once the remittance vouchers come in, the provider enters that information into the spreadsheet, which allows the agency to see what has been paid and unpaid.

Who Benefits? How?
The Agency. The spreadsheet is maintained in the front of the provider’s billing back up (invoices, remittance vouchers) which allows agency staff to view claims billed/paid or unpaid, by individual, without going back through volumes of documentation to find a particular claim.