Monthly Archives: September 2011

Quotes

“Excellence is not an accomplishment. It is a spirit, a never-ending process.”  – Lawrence M. Miller

How does the Prompt Pay Law affect Non-Contracted Providers?

The Texas Department of Insurance oversees and handles all complaints from physicians and providers about carriers who are failing to comply with the prompt payment requirements of Articles 3.70-3C, §3A and 20A.18B of the Texas Insurance Code and Department rules.  The Department is committed to achieving full company compliance with the prompt payment statutes andContinue Reading

Quotes

“Determination: Your end result will be in direct proportion to the intensity of your desire.”  – Napoleon Hill

How does the Prompt Pay Law affect Contracted Providers?

The Texas Department of Insurance oversees and handles all complaints from physicians and providers about carriers who are failing to comply with the prompt payment requirements of Articles 3.70-3C, §3A and 20A.18B of the Texas Insurance Code and Department rules.  The Department is committed to achieving full company compliance with the prompt payment statutes andContinue Reading

Quotes

“The only difference between successful people and unsuccessful people is extraordinary determination.”  – Mary Kay Ash, Entrepreneur

Prompt Pay Law definition

Prompt Payment to Providers 28 TAC §§21.2801-21.2816 When Does a Company Have to Pay a Claim for a Health Service? Texas law provides different requirements depending upon: Type of coverage – HMO vs. PPO vs. Non-network Indemnity Who filed the claim – Insured, Enrollee, Physician, or Provider Status of physician or provider – Contracted vs.Continue Reading

Did you ever wonder how Meet Up started?

If you are like me…you don’t always know the story behind how something began…how the idea formed, what was the motivation, how it all happened.  Everyone has a story…Read the story of how Meet Up was formed! *********************************************** Fellow Meetuppers, I don’t write to our whole community often, but this week is special because it’s theContinue Reading

Quotes

“Men are anxious to improve their circumstances, but are unwilling to improve themselves; they therefore remain bound.”  -James Allen

Essential Data Elements for a HCFA1500

  Data Elements that are required: Field # Data Element 1a Subscriber´s or patient´s plan ID number 2 Patient´s name 3 Patient´s date of birth and gender 4 Subscriber´s name 5 Patient´s address (street or post office box, city, zip) 6 Patient´s relationship to subscriber 7 Subscriber´s address 10 Whether patient´s condition is related toContinue Reading

Quotes

“Pleasure in the job puts perfection in the work.”   – Aristotle