Is Your Billing Company Registered for HBMA's Free Professional Billing Service Locator Service?

Physician owners and medical practice administrators are already signing up and may be looking for you! Today, the HBMA unveiled the free, fully automated Professional Billing Service Locator (PBSL) service, a platform that provides an efficient way for physician owners and medical practice administrators to easily find a trusted, professional medical billing partner. HBMA developed the offering to help providers with the arduous task of navigating through the thousands of medical billing companies on the market to find a the HBMA member organization that will best meet their specific needs. After registration, the PBSL will immediately identify the specialties, service details, and contact information of the most relevant and qualified medical billing companies in the region that fit a medical practice's specific profile. Finding that perfect match with the right professional billing service will help providers secure appropriate reimbursement for services delivered, achieve timely claims adjudication, and reduce claims denials to lessen days in accounts receivable. To learn more about how to register your billing company into the PBSL directory, visit Professional Billing Service Locator or call 877.640.4262.

http://www.hbma.org/blog/is-your-billing-company-registered-for-hbmas-free-professional-billing-service-locator-service

You Need to Adapt in Order to Survive: How Your Medical Billing Service Can Prosper During the Healthcare Industry Chaos

How Your Company Can Prosper During the
Healthcare Industry Chaos

By Patrick Phillips

The healthcare industry is facing a state of complete disorder and confusion: Uncertainty surrounding the implementation of the Affordable Care Act, the looming switch to ICD-10, EHR and "meaningful use" deadlines, hospital acquisitions of physician practices, new HIPAA rules, and Health Insurance Exchanges... the list goes on. It seems like a challenging time for medical billing companies – and it is.

 

The good news is that not only can you prosper, you can bring hope and financial stability to struggling practices and salvage some that would otherwise collapse and shut down (or get swallowed up by a hospital or other acquisition entity). How can you assure your and your clients' continued prosperity and growth?

 

Focus on becoming a full-service revenue cycle management company.
In today's dynamic marketplace, billing companies that do not keep up with the constant changes will be left in the dust by companies that do. You must not only stay current with what is happening in the industry, you need to make alliances with other companies that can provide services to your clients that will help them solve cash-flow challenges beyond just their medical billing. The more services you can offer to your clients, the more you will be perceived as "the expert" who can solve their cash flow problems.

A brief review of the latest issue of Billing will introduce you to vendors that can be valuable to you in assisting your clients with medical coding questions, HIPAA compliance, EHR Meaningful Use attestation, online document management, patient portals, integrated payment channels, patient collections, and other revenue cycle issues. Do not forget that HBMA conferences will introduce you to technology partners that can help you keep up with changes in this dynamic industry.

Make sure you are using a billing system that is fully integrated with an EHR system.
Many outdated, server-based billing systems are trying to patch together a practice management system with one of the new electronic health record systems designed by a different company or on a different platform. The company that developed the practice management (PM) system creates an interface with an EHR system developed by another company. Chaos generally ensues.

If this is the case with your PM system, you are only asking for headaches and a possible loss of clientele. EHR companies are dropping by the wayside every day. Some of them are also server-based. Trying to get them to work together with billing software is like using "bubble gum and bailing wire" and will only lead to ongoing issues in your company. Two different companies, with two groups of programmers, trying to keep all the different parts of both systems running smoothly is almost impossible and can lead to turmoil in your company.

As painful as it may seem now, it may be a good idea to begin looking for a billing system that is totally integrated with an EHR system. That means that it was designed from the ground up by the same programmers in the same company. There are such systems available, and most of them are cloud-based (accessed securely 24/7 through a browser via the Internet).

Anything less than total integration of the two systems could be a disaster waiting to happen. Start your research now and find a system that will take you into the future, especially with any new clients you bring on. And, as part of your due diligence, make sure there is a way to import the data from your current system into the new system (at least the patient demographics). Then, begin to educate your current clients on why they need to start using an EHR, if they are not already, and why they might need to use a system that is fully integrated with your billing system.

Look for a system that has a way to electronically communicate with insurance company databases. You need one that checks for eligibility and automatically imports the patient data directly from the insurance company's database to create new patient charts. This will save you hours of data input and will help you keep employee costs under control. It will also prevent you from submitting claims that are sure to be rejected because the patient was not eligible for the service and it will keep the practice from spending time seeing patients that insurances will not cover. This will increase your revenue for that practice and will eliminate a large number of claim rejections as well.

 

Keep up with changes in the industry.
I can predict the success you are going to have in your business – and in life in general – if you will tell me just two things: the people you associate with and the books (and periodicals) that you read. Do not get bogged down in the details of your billing business. You need to set aside time to attend industry conferences at least once a year and to read industry newsletters and books.

The person who does not read is no better off than the person who cannot read, so set aside time each week to read about our industry and keep up with the constant changes. Change is what life itself is based on, and if you are willing to change along with the industry, you and your clients will prosper.

Do not assume you will have your current clients forever.
You won't. Things change in medical practices: staff turnover, new policies and procedures, new government rules and regulations, competition, updated technology, and the marketplace itself. All these things can cause you to lose a client from time to time. You must always be marketing.

Whether you realize it or not, your competition in this industry is not just other medical billing companies. The practice itself is your biggest competition. All it would take is for a new office manager to come into one of your practices and decide that they would rather not outsource their billing: they think they can do it themselves more efficiently and more economically. You must keep reselling your clients on your efficiencies and on your cost savings versus doing the billing themselves internally. Provide them with revenue reports that delineate what percentage of billed dollars (expected) are actually being collected. Show them you are the expert in this industry by producing and providing to them a professional newsletter with articles that show that you keep up with the changes in the industry. HBMA has a newsletter you can purchase and tailor with your company logo (www.hbma.org). 

Take the practice administrator (or the doctor) to lunch from time to time and show them printed reports that illustrate the revenue collections from both insurance providers and patients. Hold "Lunch 'n Learns" on a regular basis with your clients to bring them up to date on what is happening in the medical industry. Position yourself as the expert. People want to do business with "the expert" in every field.

When you buy a home, you do not want the new real estate agent: you want the guy or gal who has sold 100+ homes. When you look for a CPA, you do not want one who just hung out his or her shingle: you search for one who pays less than double digits of their own taxes and has a number of clients who they service. The same is true of a doctor's office. They want to feel that they are dealing with the company that can bring in every last dime that is due to the practice.

Continue to network with other business people in the community and join your local BNI group or chamber of commerce. Get out once a week and let people know you can solve the cash crunch for doctors and help them build their practices through your contacts.

Set up an automated way of keeping in touch with everyone you come in contact with who is a prospective client. Let them know that you are the only company that they should do business with. When it comes time for them to decide to outsource their billing, you are the only choice that makes sense. People do not buy when you are ready to sell – they buy when they are feeling the pain. Be at the top of their list when they decide it is time for change.

Remind your current doctors and office administrators that you are looking to build your business. Assuming you have done a good job for them, ask them for a referral. You would be surprised as to how many billing company owners never ask their clients for referrals. Do not just ask for the name of someone. Ask your client to pick up the phone and call the other doctor or office administrator and tell them how pleased they are with your billing service and that they think it would be in their interest to meet with you.

You can shrivel up and die in this ever-changing industry, or you can make the choice to grow and prosper, starting right now!

 

Opportunities to Expand and Keep Your Business

By Steven Peltz, from the Jan/Feb issue of HBMA Billing

As a medical practice consultant, one the first areas of a medical practice that I evaluate is the billing department or billing company of a practice that has hired me. In my capacity as the president-elect of the National Society of Certified Healthcare Business Consultants (NSCHBC), I have had informal discussions with HBMA President Don Rodden, CHBME, about the consulting services that billing companies provide to practices, sometimes without understanding how important their role is to the practice.

I was introduced to HBMA by Government Relations Committee Chairman, Barry Reiter, CHBME. He and I have discussed the constant chaos that the healthcare delivery system is in and identified some of the opportunities that arise from that state. You may not know it, but many of you are already consulting, and if you have not set up your engagement contracts wisely, you are missing out both on revenue and having your client understand and appreciate all the value you bring to the practice. As practices merge and are acquired by hospitals, it is a good idea for your company to offer more than one line of service. Here are a few examples of what I do; you may want to consider adding these services to your company if you do not already offer them.

Over the years, I have established a benchmark of what a practice's accounts receivable (A/R) should look like. It is not cast in stone and is not fail proof, but it is a simple measuring tool that I use. I take the A/R temperature of all new clients and put it on a bar graph, then compare it to my benchmarks (see page 24). I then demonstrate to the potential client that by using the graph, their money is worth less the longer it is owed to the practice. I point out that either their billing company or billing department is not meeting the standard. I also break down the front end of the billing process and identify disconnects in the data collection process, such as: poorly trained staff, lack of reconciliation, monitoring, and the final decision with respect to collections.

Reducing the lifetime of debts that your company must collect begins at the point of service. Collecting co-pays at the time of each practice visit reduces postage, cuts billing staff time, and increases cash flow. Increasing the consistency of this front end collection means training the practice's staff to train the patients. For example, the front end staff may say to the patient, "Your co-pay today is $20" and then stop and wait. A more effective script for collecting co-pays may be, "Your co-pay today is $20, and we accept cash, checks, and credit cards. How would you like to pay?" A subtle but important difference, and while it will not work 100% of the time, it will result in increased revenue. Then, tell your client that you will monitor the success of their front office staff in collecting co-pays and refresh the front staff's training a few times a year. Finally, track the front staff collections on a monthly (or less frequent, but consistent) schedule and meet with your client enough times for your client to develop trust in you as a part of the management team.

When patients call to schedule appointments, do the front desk staff members ask for enough information to check insurance eligibility and acquire authorizations, when appropriate, before the visit?

Is there a daily, weekly, or monthly close that reconciles the cash, personal checks, credit card receipts, and insurance checks with the end-of day and end-of-week computer report and the bank statement? This is a simple way to make sure all the funds go into the bank and not into someone's pocket.

Does the office manager or billing department / company supervisor produce a monthly report that compares the charges and collections of the past month with the same month last year and two months before? This will spot and identify trends before they become problems.
During the first few meetings with your client, be prepared to bring something to the discussion that demonstrates the depth and scope of your knowledge and how your expertise will add to the success of the practice. For example, each year Medicare changes their codes; you could explain which, if any, impact the practice. If it is a primary care practice, establish a referral-based report. Identify how many dollars are sent out of the practice and to what specialties. Are there ways to recapture some of those dollars? Is the PCP or the specialist asking enough questions and documenting enough to code one level higher, if appropriate? I usually tell the owners(s) that the practice needs a preventative audit at least once every year and especially after a new provider is hired. When they ask why, I give them examples of other practices that have had to write checks back to payers.

When your client brings in a new provider, do you offer to credential the provider or bring in someone who can? Do you discuss ancillary sources of revenue that other practitioners use that can also be applied to that practice?

You probably already do between 80% and 100% of the above suggestions, but does the client understand how these services impact their practice? The point is whether your client knows that you provide these services. Yes, I know that they do not want to pay more for services that they think should be included, but that is not a reason to forgo informing them of all you do. Enhancing the services that you offer discourages clients from shopping for competing providers – it is much less expensive to keep a client than it is to get a client. Also importantly, by enhancing your services, you become more appealing to potential new clients when you make sales calls and offer to analyze their operational efficiency.

As a consultant, I either know the answer to the question or where to get it. You should be no different. With the constant change in the healthcare delivery system, you need to be constantly enhancing your product and empowering your clients with more opportunities.

 Courtesy of: http://www.hbma.org/news/public-news/n_a-reminder-opportunities-to-expand-and-keep-your-business

"New" CMS-1500: WCMS-1500CS-12 Date of Implimentation Unknown (as of August 2013)

1500 Health Insurance Claim Form Change Log 6/17/2013 
The following is the list of changes between the 1500 Claim Form 08/05 version and the 02/12 version.

 

Header: The barcode was removed.

Header: The language “PLEASE DO NOT STAPLE IN THIS AREA” was removed from the left-hand side.

Header: The rectangle with “1500” was added in black ink to the left-hand side.

Header: The title “HEALTH INSURANCE CLAIM FORM” was moved from the lower, right-hand side to the left-hand side.

Header: The language “APPROVED BY NATIONAL UNIFORM CLAIM COMMITTEE 08/05” was added to the left-hand side.

Header: The language “TEST VERSION – NOT FOR OFFICIAL USE” was added to the right-hand side. This language will be removed when the form is approved by OMB.

Box 1: “TRICARE” was added above “CHAMPUS”.

Box 1: Under CHAMPVA, “VA File #” was changed to “Member ID#”.

Box 17a: The box was split in half length-wise.

Box 17a: This area was shaded. This box will accommodate other ID numbers.

Box 17a: Two vertical lines were added. This field will accommodate a two byte qualifier for other ID numbers.

Box 17b: This field was added.

Box 17b: Two vertical lines were added with the “NPI” label. This field will accommodate the NPI number.

Box 21: The lines after the decimal point in items 1, 2, 3, and 4 were extended to accommodate four bytes.

Box 24: The line with the alpha indicators was removed. The alpha indicators were moved next to the respective titles in the title fields.

Box 24: The line numbers to the left of Box 24 were increased in size and centered with each line.

Box 24: Each of the six lines were split length-wise and shading was added to the top portion of each line. This area is to be used for the reporting of supplemental information.

Box 24: Vertical line separators on each of the six lines have been removed from the shaded area,               except for the lines before Boxes 24I and 24J.

Box 24C: “Type of Service” was removed. This field is now titled “EMG”.

Box 24D: The field became wider by three bytes.

Box 24D: Shading was added vertically between “CPT/HCPCS” and “MODIFIER”.

Box 24D: Vertical lines were added in the unshaded “MODIFIER” section to accommodate four                  sets of two bytes.

Box 24E: The title was changed from “DIAGNOSIS CODE” to “DIAGNOSIS POINTER”.

Box 24E: The field was decreased by three bytes.

Box 24G: This field was increased by one byte.

Box 24H: This field was decreased by one byte.

Box 24I: The title was changed from “EMG” to “ID. QUAL.”.

Box 24I: A horizontal line was added length-wise across the field separating the shaded and unshaded portions of the field.

Box 24I: The label “NPI” was added in the unshaded portion of the field.

Box 24J: The title was changed from “COB” to “RENDERING PROVIDER ID. #”. 1500 Claim                            Form Change Log – 11/29/05

Box 24J: A dotted horizontal line was added length-wise across the field separating the shaded and unshaded portions of the field. The NPI number is to be reported in the unshaded field. An other ID number can be reported in the shaded field.

Box 24K: This field, “RESERVED FOR LOCAL USE”, was removed.

Box 32: Boxes 32a and 32b were added at the bottom.

Box 32a: This field was added to accommodate reporting of the NPI number and is indicated by the shaded label of “NPI”.

Box 32b: This shaded field was added to accommodate the reporting of other ID numbers.

Box 33: Parentheses were added after the title to indicate the location for reporting the telephone number.

Box 33: Boxes 33a and 33b were added at the bottom.

Box 33a: The title of this field was changed from “PIN#” to “a.”.

Box 33a: A shaded label of NPI was added to the box to indicate the reporting of the NPI number.

Box 33b: The title was changed from “GRP#” to “b.” to accommodate the reporting of other ID numbers.

Box 33b: The field was shaded.

Footer: The language “NUCC Instruction Manual available at: www.nucc.org” was added to the left-hand side.

Footer: The OMB approval numbers were removed and the language “OMB APPROVAL                 PENDING” was added. The numbers will be added after approval has been received by OMB.

Back: The following language was added in the last line at the bottom of the form: “This address     is for comments and/or suggestions only. DO NOT MAIL COMPLETED CLAIM  FORMS TO THIS ADDRESS.”

 

Courtesy of HMBA

Latest Trends and Best Practices for Collecting Healthcare Payments

An article by Bill Marvin, taken from the July/August issue of HBMA Billing (hbma.org)
The healthcare payments industry is growing and changing rapidly, and this change is influencing the way that many in the industry, including billing services and their clients, do business. Data from the 2012 Trends in Healthcare Payments Annual Report shows that as the healthcare payments industry evolves, billing services must take steps to accommodate these changes.
Efficiency, payment best practices, interoperability, and security will be crucial areas to focus on in the future as the industry continues to change and grow. Below are the key market trends featured in the report that identify how billing services can prepare for the future in the healthcare payments industry.

1. Simplify the Payment Experience

Of providers surveyed, 37 percent said that their primary revenue cycle concern is the increase in patient responsibility.
As patient responsibility continues to rise, patients have more influence in the healthcare payments process. By delivering additional channels for consumer payments, billing services and their clients will collect more payments
Of providers surveyed, 83 percent said it took more than one month to collect from a patient after claim adjudication.
Today, billing services send out multiple paper statements and make follow-up phone calls to collect patient payments. Facilitating payments at every patient interaction point will be a key factor in reducing the time and costs to collect.

2. Expand Payment Channels

Of patients surveyed, 72 percent said they would like to pay their healthcare bills online.
It is estimated that U.S. consumers will spend more than $300 billion online in 2016. To collect more payments, billing services and their clients must look to the online payment best practices used in other industries to meet patient payment expectations as consumers.
In addition to leveraging technology, billing services must foster cultural changes among staff and patients to better prepare staff members to collect and for patients to pay. Tools and policies such as prompt pay discounts, staff incentive programs, minimum payment requirements, and scripts to use when discussing payments with patients are effective ways to collect more revenue.

3. Achieve Interoperability to Increase Efficiency

Of providers surveyed, 71 percent said that a lack of system interoperability is a major barrier to health information exchange.
Continuing provider consolidation will drive a greater need for system interoperability. The industry must also focus on administrative interoperability, including payment-related systems and processes. By integrating heterogeneous systems, billing services and their clients will automate more processes, simplify compliance requirements, and streamline employee training.

4. Focus on Data and Security

In the last decade, cloud usage in the U.S. has grown by more than 150 percent.
As billing services deliver more channels for consumer payments, private cloud technology will be crucial to efficiently collect, post, and reconcile all payments. However, cloud usage also presents new risks such as long-term downtime and loss of data during disasters. To protect data in the cloud, billing services must ask cloud vendors about disaster recovery and prevention policies and procedures.
In 2012, 27 percent of all reported data breaches occurred in the healthcare industry.
As patient payments increase, more consumer payment cards and bank accounts are exposed, which greatly increases the risk of a data breach. The financial and reputational costs of a payment card data breach are high and may result in bad publicity and loss of business. To reduce the risk of a breach, billing services should consider implementing methods to ensure payment card security and to meet the Payment Card Industry (PCI) standards more easily. In order to protect sensitive information when collecting payments, organizations will leverage new technology such as encryption at the point of interaction (POI) and prepare for the upcoming mandate around Europay, MasterCard, and Visa (EMV). The new EMV standard requires payment card issuers to include a chip that will add a layer of authentication to go along with the current magnetic strip on the back of cards. The industry is quickly beginning to issue and mandate processing for chip-based cards, including:

• Starting April 1, 2013, banks and financial institutions were required to process EMV chip transactions.
  
• Starting October 1, 2015, liability for counterfeit transactions will shift to merchants when processing an EMV card transaction on non-EMV capable devices. Additional information can be found at en.wikipedia.org/wiki/EMV.

Article source: 2012 Trends in Healthcare Payments Report, www.instamed.com/trends-in-healthcare-payments-annual-report-2012.

5 Best Practices for Using Payment Plans to Ensure Patient Payments

What You Need to Know

An article by Bill Marvin, taken from the May/June issue of HBMA Billing (hbma.org)
As health insurance premiums continue to grow (at an average annual rate of 7.1 percent [AHIP 2010]), employers are switching to lower cost, high-deductible health plans. This trend is resulting in an overall decrease in payor payments and a consequent increase in patient payments. This will continue throughout the next decade as the Affordable Care Act rolls out. As a result, billing services and their clients are more dependent on patients for revenue. To collect more from patients, many billing services have started to use patient-centered strategies, such as payment plans. However, to improve results and increase efficiency for their clients, billing services need to ensure that they have implemented best practices.

A Growing Trend

Data from the 2011 "Trends in Healthcare Payments" report shows that the use of payment plans for healthcare payments has doubled since 2009.1 In the same report, 63 percent of surveyed patients said that they would utilize payment plans for their healthcare bills if given the option.

Five Best Practices for Successful Payment Plans

1. Automate Payments
   Many billing services support payment plans manually by managing a calendar that shows when each payment is owed and by calling patients to collect every month. This method is a step in the right direction, but it adds to the billing service's work effort, does not ensure payment for the client, and has security flaws. Whether the payment plan is set up while the patient is in the office or after a statement is sent, billing services and their clients should securely collect and store payment information so they can automatically collect payments when they are due.
   
2. Automate Communications
   Even when a patient authorizes automated monthly payments, he or she may still forget about the payment until it shows up on their next statement, which may create confusion and costly chargebacks. Improve communication and offer payment transparency by automating email notifications to patients prior to each payment transaction
   
   Tip: Provide clients with a one-page "FAQ" for patients explaining how payment plans work, including payment timing, notifications, and payment card security.
   
3. Draw a Line
   It is great for billing services to give patients some flexibility and choice in how much they pay each month, but it is also necessary that they set parameters and stick to them. As a standard best practice, billing services should charge a minimum monthly payment of $100 or require that the bill be paid in full within 12 months.
   
4. Collect Something Upfront
   Payment plans work well for patients who are unable to pay the full bill at once, but billing services should avoid allowing payment plans to become a way for patients to put off paying at all. Establish a policy that patients must pay a certain percentage of the bill upon setting up a monthly payment plan.
   
5. Tailor Payment Plans to Patient Needs
   Depending on the scenario, there are three main types of payment plans to offer patients:
   
   
   • Installment: Collect payments against an outstanding balance and deactivate the plan automatically when the total balance is paid.
   • Recurring: Collect payments at a regular, ongoing interval as a subscription service.
   • Save on File: Save a patient's payment card on file to collect the remaining amount owed when the claim is adjudicated. This is useful when the patient's payment responsibility is unknown during the patient visit; for example, if the patient has a high deductible.

By following best practices when offering patient payment plans, billing services can ensure payment for their clients, even from self-pay or high-deductible patients. Automated, scheduled payment plans save billing services a lot of time and costs to send multiple patient statements and make follow-up calls to patients as well as improve patient communication and clarity around the payment process.

 

Courtesy of: HBMA http://www.hbma.org/news/public-news/n_5-best-practices-for-using-payment-plans-to-ensure-patient-payments

Commercial Payor News - Health Insurance Plan Links

AEGON USA, Inc.
http://www.aegonins.com/
Aetna, Inc.
http://www.aetna.com/index.htm
Affinity Health Plan
http://www.affinityplan.org/
Aflac
http://www.aflac.com/
Alameda Alliance for Health
http://alamedaalliance.org/
Alere Medical, Inc.
www.alere.com
Allegiance Life & Health Insurance Company
http://www.allegiancelifeandhealth.com/
AlohaCare
http:// www.alohacare.com
AMA Insurance Agency
http://www.ama-assn.org/
American Fidelity Assurance Company
http://www.af-group.com/
American Heritage Life
http://www.allstate.com
American Medical Security, Inc.
http://www.eams.com/
American Republic Insurance Company
http://www.aric.com/
American Specialty Health Incorporated
http://www.ashcompanies.com/
AmeriChoice Health Services, Inc.
http://www.americhoice.com
Amerigroup Corporation
http://www.amerigroupcorp.com/
AmeriHealth
http://www.amerihealth.com
Arcadian Health Plans
www.arcadianhp.com
Arkansas BlueCross Blue Shield
http://www.arkbluecross.com
Assurant Health
http://www.assuranthealth.com
AultCare Corporation
http://www.aultcare.com/
Avera Health Plans
www.averahealthplans.com
AvMed Health Plan
http://www.avmed.org
Aveta, Inc
http://www.aveta.com
Axis Global Accident & Health
www.axiscapital.com/accident
Bankers Life and Casualty Company
http://www.bankerslife.com
Blue Cross Blue Shield of Arizona
http://www.bcbsaz.com
Blue Cross and Blue Shield of Florida
http://www.bcbsfl.com/home/index.cfm
Blue Cross and Blue Shield of Georgia
http://www.bcbsga.org/
Blue Cross Blue Shield of Kansas
http://www.bcbsks.com
Blue Cross and Blue Shield of Illinois
http://www.bcbsil.com
Blue Cross & Blue Shield of Louisiana
http://www.bcbsla.com
Blue Cross Blue Shield of Michigan
http://www.bcbsm.com
Blue Cross and Blue Shield of Minnesota
http://www.bluecrossmn.com
Blue Cross and Blue Shield of Montana
http://www.bcbsmt.com/
Blue Cross and Blue Shield of New Mexico
http://www.bcbsnm.com
Blue Cross Blue Shield of Massachusetts
http://www.bcbsma.com
Blue Cross Blue Shield of Nebraska
http://www.bcbsne.com
Blue Cross Blue Shield of North Carolina
http://www.bcbsnc.com
BlueCross BlueShield of North Dakota
http://www.bcbsnd.com
BlueCross BlueShield of Oklahoma
http://www.bcbsok.com/
Blue Cross and Blue Shield of Rhode Island
www.bcbsri.com
BlueCross BlueShield of South Carolina
http://www.bcbssc.com
BlueCross BlueShield of Tennessee
http://www.bcbst.com
BlueCross BlueShield of Texas
http://www.bcbstx.com
BlueCross BlueShield of Vermont
http://www.bcbsvt.com
BlueShield of Northeastern New York
http://www.bsneny.com
Blue Cross of Idaho
http://www.bcidaho.com
Blue Cross of Northeastern Pennsylvania
http://www.bcnepa.com
Blue Shield of California
http://www.blueshieldca.com
Bluegrass Family Health, Inc.
http://www.bgfh.com
Boston Medical Center Healthnet Plan
http:// www.bmchp.org
Bravo Health
http:// www.bravohealth.com
CalOptima
http://www.caloptima.org
Capital Blue Cross
http://www.capbluecross.com/
Capital District Physicians´ Health Plan
http://www.cdphp.com
Capstone Health Plan, Inc.
www.nazcap.com
Care 1st Health Plan
http//www.care1st.com/
CareFirst BlueCross BlueShield
http://www.carefirst.com
CareMore Health Plan
http://www.caremore.org
CareOregon
http://www.careoregon.org
CareSource
http://www.caresource.com
Celtic Insurance Company
http://www.celtic-net.com/
CENTENE Corp.
http://www.centene.com
Chartered Health Plan
http://www.chartered-health.com/
Children's Mercy Family Health Partners
http://www.fhp.org
Chinese Community Health Plan
http://www.cchphmo.com
CIGNA Health Carehttp://www.cigna.com/
CNO Financial Group
http://cnoinc.com/
Colorado Choice Health Plans/San Luis Valley HMO
http://www.slvhmo.com
Commercial Travelers Mutual Insurance Company
http://www.commercialtravelers.com/
Community Care, Inc.
http://www.communitycareinc.org/
Community Health Network of Connecticut
http://www.chnct.org/
Community Health Partnership
http://www.communityhealthpartnership.com
Community Health Plan of Washington
http://www.chpw.org
ConnectiCare, Inc.
http://www.connecticare.com/
CoreSource
http://www.coresource.com/
Coventry Health Care, Inc.
http://www.cvty.com
DAKOTACARE
http://www.dakotacare.com
Dean Health Plan, Inc.
http://www.deancare.com
Delta Dental Plans Association
http://www.deltadental.com/
Denver Health Medical Plan
http://www.denverhealth.org
Disability Management Services, Inc.
http://www.disabilitymanagementservices.com
Elderplan
http://www.mjhs.org
Empire Blue Cross and Blue Shield
http://empireblue.com
ENCOMPASS Health Management Systems
http://www.encompas.com
Erickson Advantage
http://www.ericksonadvantage.com/
Essence, Inc
http://www.essencehealthcare.com
Excellus BlueCross BlueShield
http://www.excellusbcbs.com
Fallon Community Health Plan
http://www.fchp.org
Family Care, Inc.
http://www.familycareinc.org/
Federated Insurance Companies
http://www.federatedinsurance.com/
FirstCarolina Care, Inc.
http://www.firstcarolinacare.com/
First Choice Health Network
http://www.1stchoiceofwa.com
First Health
http://www.firsthealth.com/
Florida Hospital Healthcare System
http://www.flhosp.org
Fresenius Medical Care Health Plan
http://www.fmchp.com
Geisinger Health Plans
http://www.thehealthplan.com/
Gen Re LifeHealthhttp://www.genre.com/
Genworth Financial
http://www.genworth.com/longtermcare
Group Health Cooperative
http://www.ghc.org/
Group Health Cooperative of Eau Claire
http://www.group-health.com/
Group Health Cooperative of SC Wisconsin
http://www.ghc-hmo.com
Group Health Incorporated
http://www.ghi.com
Guarantee Trust Life Insurance Company
http://www.gtlic.com/
Guardian Life Insurance Company of America, The
http://www.glic.com/
Guildnet, Inc.
http://www.jgb.org
Gundersen Lutheran Health Plan Inc.
http://www.gundluth.org/healthplan
Harvard Pilgrim Health Care
http://www.hphc.org
Health Alliance Medical Plan
http://www.healthalliance.org
Health Alliance Plan
http://www.hap.org
Health Dialog
http://www.healthdialog.com/
Health First Health Plan, Inc.
http://www.health-first.org/health_plans
Health Net
http://www.healthnet.com
Health New England
http://www.healthnewengland.com
Health Partners – Philadelphia
http://www.healthpart.com
Health Plan of Michigan
http://www.hpmich.com/
Health Plan of Nevada
http://www.healthplanofnevada.com/
Health Plan of San Joaquin
http://www.hpsj.com
Health Tradition Health Plan
http://www.healthtradition.com
HealthEquity
http://www.healthequity.com
Healthfirst, Inc.
http://www.healthfirstny.com
HealthMarkets
http://www.healthmarkets.com
HealthNow of New York, Inc.
http://www.healthnowny.com/
HealthPartners, Inc.
http://www.healthpartners.com
HealthPlan Services
http://www.healthplan.com
HealthPlus of Michigan
http://www.healthplus.com/providers.html
HealthSpring
http://www.myhealthspring.com
Healthways, Inc.
http://www.healthways.com
Highmark Blue Cross Blue Shield
http://www.highmark.com
HIP Health Plans
http://www.hipusa.com
Hometown Health Plan
http://www.hometownhealth.com/
Horizon BC/BS of New Jersey
http://www.horizon-bcbsnj.com
Humana, Inc.
http://www.humana.com/
Illinois Mutual Life Insurance Company
http://www.illinoismutual.com/
The i/mx* Companies
http://www.imxinc.com
Independence Blue Cross, Philadelphia, PA
http://www.ibx.com
Independent Health
http://www.independenthealth.com
Insurance Administrative Solutions, L.L.C.
http://www.wakelyinc.com
Integrated Health Plan
http://www.ihplan.com
Inter Valley Health Plan
http://www.ivhp.com IU Health
http://iuhealth.org          JHA, Inc.
http://www.jhaweb.com/
John Hancock Financial Services
http:// www.jhancock.com
Kaiser Permanente
http://www.kp.org/
KelseyCare Advantage
www.kelseycareadvantage.com
Kern Health Systems
http://www.kernhealthsystems.com
Keystone Mercy Health Plan, Inc.
http://www.keystonemercy.com
L.A. Care
http://www.lacare.org
LifeCare Assurance Company
http://www.lifecareassurance.com/
LifePlans, Inc.
http://www.lifeplansinc.com/
The Lifetime Healthcare Companies
http://www.lifethc.com
Univita Health
www.univitahealth.com
Long Term Care Partners, LLC
http://www.ltcfeds.com/
Lovelace Sandia Health System/Lovelace Health Plan
http://www.lovelacehealthplan.com
Martin's Point Health Care
http://www.martinspoint.com
MedAmerica Insurance Company
http://www.medamericaltc.com/
Medco
http://www.medcohealth.com
Medica Health Plan
http://www.medica.com
Medical Benefits Mutual Life Insurance Co.
http://www.medben.com
Medical Mutual of Ohio
http://www.medmutual.com
MemberHealth
http://www.mhrx.com
Mercy Health Plans
http://www.mercyhealthplans.com
Metlife
http://www.metlife.com
Metropolitan Health Plan
http://www.co.hennepin.mn.us/
Mid Rogue Health Plan
http:// www.mripa.org
Molina Healthcare
http://www.molinahealthcare.com
Mount Carmel Health Plan
http://www.mountcarmelhealth.com/
MultiPlan, Inc.
http://www.multiplan.com
Munich Re America HealthCare
http://www.mrahc.com
Mutual of Omaha Insurance Company
http://www.mutualofomaha.com/
MVP Health Care
http://www.mvphealthcare.com
National Teachers Associates Life Insurance Company
http://www.ntalife.com
Nationwide Life Insurance Company
http://www.nationwide.com
Neighborhood Health Plan
http://www.nhp.org
Neighborhood Health Plan of Rhode Island
http://www.nhpri.org/
Neighborhood Health Providers
http://www.royalhc.com
Network Health Plan
http://www.networkhealth.com
New West Health Services
http://www.newwesthealth.com/
New York Life Insurance Company
http://www.newyorklife.com/
The ODS Companies
http://www.odscompanies.com
Olympic Health Management Systems, Inc.
http://www.ohmsystems.com/
On Lok Senior Health Services
http://www.onlok.org
Optum Health
http://www.optumcare.com/
PacificSource Health Plans
http://www.pacificsource.com
Passport Health Plan
http://www.passporthealthplan.com
PayFlex
www.payflex.com
Penn Highlands Health Plan
http://www.pennhighlands.com/
Penn Treaty American Corporation
http://www.penntreaty.com/
Peoples Health
http://www.peopleshealth.com
Physicians' Benefits Trust Life Insurance Co.
http://www.pbtinsurance.com
Physicians Health Plan of Northern Indiana
http://www.phpni.com
Physicians Mutual Insurance Company
http://www.physiciansmutual.com
PHP Companies d/b/a Cariten Healthcare
http://www.cariten.com
Preferred Care Partners
http://www.psohealth.com
Preferred Health Systems
http://www.phsystems.com/
PreferredOne
http://www.preferredone.com
Presbyterian Health Plan
http://www.phs.org
PrimeWest Health Systems
http://www.primewest.org
Principal Financial Group
http://www.principal.com
Providence Health Plans
http://www.providence.org/healthplans
Prudential Life Insurance Co. of America
http://www.prudential.com
Puget Sound Health Partners
http://www.ourpshp.com
QualCare, Inc.
http://www.qualcareinc.com
QualChoice of Arkansas
http://www.qualchoice.com
Regence BC/BS of Oregon
http://www.or.regence.com
Regence BlueCross BlueShield of Utah
http://www.regence.com
Regence Blue Shield
http://www.wa.regence.com
Regence BlueShield of Idaho
http://www.regence.com
Resolution Health
http://www.resolutionhealth.com
Rocky Mountain Health Plans
http://www.rmhp.org
Samaritan Health Plans
http://www.samaritanhealthplans.com/
San Francisco Health Plan
http://www.sfhp.org
SCAN Health Plan
http://www.scanhealthplan.com/
Scott & White Health Plan
http://www.sw.org
Senior Health Insurance Company of Pennsylvania
http://www.shipltc.com/
Senior Whole Health, LLC
http://www.seniorwholehealth.com
Sentara Healthcare
http://www.sentara.com/
Sharp Health Plan
http://www.sharp.com
Silver Script Insurance Company
http://www.silverscript.com
Southeastern Indiana Health Organization
http://www.siho.org
Starmark
http://www.starmarkinc.com/
State Farm Insurance Companies
http://www.statefarm.com/
Sterling Life Insurance Company
http://www.sterlingplans.com
Stonebridge Life Insurance Company
http://www.stonebridgelife.com/
Sun Health MediSun, Inc.
http://sunhealth.org
TakeCare Insurance Co.
http://www.takecareasia.com/
Teachers Protective Mutual Life Insurance Company
http://www.tpmins.com/
Thrivent Financial for Lutherans
http://www.thrivent.com
Touchstone Health Partnership, Inc.
http://www.touchstone-health.com
Transamerica Life Insurance Company
http://www.transamerica.com
Trillium Community Health Plan
http://www.trilliumchp.com
TriWest Healthcare Alliance
http://www.triwest.com/
Tufts Health Plan
http://www.tufts-healthplan.com
Trustmark Insurance Company
http://www.trustmarkinsurance.com/
UCare
http://www.ucare.org
UMR
http://www.umr.com
UNICARE Life & Health Insurance Company
http://www.unicare.com
United HealthCare
http://www.UnitedHealthcare.com
United Teacher Associates Insurance Company
http://www.utainteractive.com
UnitedHealth Group
http://www.unitedhealthgroup.com
Unity Health Plans
http://www.unityhealth.com
Unison Administrative Services
http://www.unisonhealthplan.com
Univera Healthcare
http://www.univerahealthcare.org
Universal American Corp
http://www.uafc.com
University Health Alliance
http://www.uhahealth.com
Universal Health Care
http://www.univhc.com
Unum Group
http://www.unum.com
UPMC Health Plan
http://www.upmc.edu
Upper Peninsula Health Plan
http://www.uphp.com
USAA Life Insurance Company
http://www.usaa.com
USHEALTH Group, Inc.
http://www.ushealthgroup.com
Virginia Premier
http://www.virginiapremier.com
VNS Choice
http://www.vnschoice.org
Vytra Health Plans
http://www.vytra.com
Wakely and Associates
http://www.wakelyinc.com/
WellCare Health Plans
http://www.wellcare.com
Wells Fargo
http://www.wellsfargo.com
WellPoint, Inc.
http://www.wellpoint.com
Western Health Advantage
http://www.westernhealthadvantage.com
WINHealth Partners
http://www.winhealthpartners.org
World Insurance Company
http://www.worldinsco.com
XL Health
http://www.xlhealth.com
Yale University Health Services
http://www.yale.edu/yuhs/menu.html
Zurich North America
http://www.zurichus.com/

Courtesy of: HBMA http://www.hbma.org/news/commercial-payor-resources/health-insurance-plan-links

HBMA Government Relations Summer Update 2013 - HBMA - Healthcare Billing and Management Association for 1st and 3rd Party Billers - Medical Billing, Practice Management

HBMA Government Relations Summer Update 2013 - HBMA - Healthcare Billing and Management Association for 1st and 3rd Party Billers - Medical Billing, Practice Management

HBMA request for information program! Join for recommendations to physicians

HBMA 2013 Fall Conference Attendee Registration - HBMA - Healthcare Billing and Management Association for 1st and 3rd Party Billers - Medical Billing, Practice Management

HBMA 2013 Fall Conference Attendee Registration - HBMA - Healthcare Billing and Management Association for 1st and 3rd Party Billers - Medical Billing, Practice Management