Tips for submitting claims - medical billing news

Helpful hints to reduce claims processing time!

Submit claims electronically. ODS processes electronic claims first each day.
Verify the patient's relationship to subscriber and plan information is correct before submitting claims.
Include all pertinent information. Date of birth, subscriber ID, valid CPT and ICD-9 codes.
If the patient is covered by more than one ODS program, submit one claim form indicating the name of the subscriber, subscriber ID, employer (if applicable), and ODS group number for both plans. If covered by another carrier, indicate the above information plus the name, address and policy number of the other carrier.

If a patient has primary insurance through another carrier other than ODS, the EOB from that insurance company will need to accompany the claim for consideration of payment.
ODS makes payment twice per month.
Please contact us before submitting duplicate claims:
Re-billing without contacting us slows our turnaround time and delays payment.
Check Benefit Tracker to see the status of a claim. If you haven't registered for this free online service, click here for more information.
If you receive a PDR indicating that your claim has already been processed before you receive a check, this indicates your re-bill was unnecessary. The claim was processed and is pending for the next scheduled payment date.
DO NOT USE HIGHLIGHTER ON PAPER CLAIMS.