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Electronic Billing
Coventry Workers’ Comp Services will launch its electronic billing system for health care providers and payors by January 1, 2008. This system will comply with the workers’ compensation electronic billing (eBilling) requirements mandated by the Texas Department of Insurance, and will respond to the industry’s request for a streamlined, paperless billing process.
Coventry has partnered with Jopari Solutions to create a comprehensive end-to-end eBilling solution. This solution:
- Allows payors to receive bills directly from providers (via agent) in an ANSI compliant format;
- Allows providers to receive basic status of bills being processed;
- Allows providers to receive 835 remittance advice from payors within required state timelines;
- Allows providers to submit appeals/reconsiderations in paper or electronically;
- Is expandable to allow Coventry to act as eBill gateway for all client eBill transactions;
- Is expandable to accommodate eBill requirements for new states as they adopt eBilling requirements;
- Wraps around existing client workflow model to minimize client development and workflow change.
Coventry will be fully compliant with all eBilling requirements for Texas and all other states which require eBilling in the future, which at this time, are expected to include California, Oregon, New York and Minnesota.
If you are a provider, and wish to become a Coventry eBilling partner, please contact Jopari Solutions at 1-866-269-0554.