How Can EDI Bills Be Submitted (WCBMP Guides) Direct Data Entry Direct Data Entry (DDE) is available to all providers upon registration with the WCBMP system (Also referred to as Web Interactive). Enter bills directly into the WCMBP system via the “On-Line Bills Entry” link on the Provider Portal. Accommodates several bill types (professional, institutional, … Read More →
Office of Workers’ Compensation Programs EDI Basics EDI allows Providers to avoid claim processing delays, reduction of administrative postage, materials and handling cost, faster detection of errors and faster payments. In the series of posts #WCMBP_EDI, we’ll cover information on how to establish an EDI account and submit files. Providers can submit their EDI files through the … Read More →
Tips for Resolving Errors with 270/271 Eligibility and Benefits Transactions UnitedHealthcare wants to help partners resolve errors to obtain member eligibility and benefits from their 270/271 Health Care Eligibility and Benefit Inquiry and Response transactions. Its current search logic allows you to enter different criteria related to the member or patient for the eligibility and benefits inquiry transaction … Read More →
Fraud, Waste and Abuse (Louisiana Healthcare Connections) Some of the most common coding and billing issues are: Billing for services not rendered Billing for services at a frequency that indicates the provider is an outlier as compared with their peers. Billing for non-covered services using an incorrect CPT, HCPCS and/or Diagnosis code in order to … Read More →