Beyond Codes: Electronic Claims Acknowledgment Reports

While physicians and other qualified health care professionals (QHPs) typically rely on administrative staff to oversee or conduct billing activities, a general understanding of the process may prove beneficial should issues like staff turnover or a problem with outsourced billing result in unpaid claims. This article reviews An initial step in claims management to verify that claims submitted electronically were accepted by the clearinghouse and/or payer How acknowledgment reports can provide evidence that claims were filed within a payer’s timely filing period (eg, within 60 or 90 days of the date of service)