Patient insurance eligibility - electronic

carolself_cpcemt@yahoo.com

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Good morning Listers!!!!

I believe that there is a section of the ACA rules that require carriers to receive files for electronic verification of eligibility. The part I cannot remember is whether it says they must receive and respond to those files for free or if they may charge for the transmissions???

I know if you use and intermediary like a clearinghouse, the clearinghouse can charge.......

Any thoughts??? And can anyone remember where that information is???

Thank you!!!
Carol J. Self, CPPM, CPC, EMT
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Good morning Listers!!!!

I believe tha=
t there is a section of the ACA rules that require carriers to receive file=
s for electronic verification of eligibility. The part I cannot remember i=
s whether it says they must receive and respond to those files for free or =
if they may charge for the transmissions???

I know i=
f you use and intermediary like a clearinghouse, the clearinghouse can char=
ge.......

Any thoughts??? And can anyone remember w=
here that information is???

Thank you!!!
Carol J. Self, CPPM, CPC, EMT
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