Correct payer in Mobi smoothly

Aug 6th, 2022
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How to Correct payer in Mobi

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hi this is Addison Guzman with Atria gross and Adria how are you this morning I am doing marvelous fantastic lets see what we can get into today what do you have for us I do cases all over the United States and uh this was a case um involving an auto accident I have been very successful with the medical bills to try and get them reduced sometimes what happens is um they whos going to pay it so lets say your health insurer pays it or the auto company but I dont know if you know what coordination of benefits is so that comes along often with these type of cases because theyre wondering who really should be the payer so I this is a case involving an auto accident it was twelve thousand dollars for the medical bills I got everything paid but at the end we had to go back and forth with coordination of benefits to see who really the payer should be so keep that in mind you know who is the really the payer and thats what you need to take care of when it comes to an auto accident or let

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For private plans, most third-party payers are private insurance companies. For public plans, third-party payers include Medicare and Medicaid, most commonly.
At base, a payor is the entity that pays for services rendered by a healthcare provider. The payor may be a commercial insurance company, government program, employer, or patient.
Payor is used interchangeably with payer. The person making the payment, satisfying the claim, or settling a financial obligation. For example, the person writing a check is the payor, or an employer paying their worker is the payor.
Health plans pay the cost of medical care, while the payer processes and pays provider claims. The most common type of payers are insurers (insurance companies), and payviders are healthcare service providers who are also payers.
Payer Name. Description. The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements.
The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination.

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