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Timely Payments

  1. #1
    Location
    Reno, Nevada
    Posts
    46
    Default Timely Payments
    Medical Coding Books
    I work in the State of Nevada and I am getting conflicting feed back with timely payment from insurance companies. I have been told payment is 30 days from date of service and I also have been told 45 days from date of service. Does anybody know which is correct? Where can I find this information at?

    Thank You!
    Thank You and Good Luck!!!!
    Jessica Companey, CPC
    Reno, Nevada

  2. #2
    Location
    Sioux Falls South Dakota
    Posts
    358
    Default
    I am not in Nevada, but have lived/worked in multiple states. In my experience, the best place to find this information is on your state's website. They should have either a link to the state's Department of Insurance or a search engine to find it. Some insurance companies may say they don't have to follow the guideline because they aren't physically located in that state; however, if they do business there, they have to follow guidelines, because they have to get a license to be "sold" in that state. Most states have either a 30 or 45 day rule; and it applies to "clean" claims.

    Hope this helps,
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. Default
    Hi,

    i also work in nevada, and our state regulation for claims payment is 30 days as long as you are contracted with the insurer. This doesnt mean that they have to pay within 30 days, it means they have to send a denial, a payment or correspondence on why the claim is being held/reviewed.


  4. #4
    Location
    Reno, Nevada
    Posts
    46
    Default
    Thank You very much!!!! This does Help.
    Thank You and Good Luck!!!!
    Jessica Companey, CPC
    Reno, Nevada

  5. Default
    Actually, it's 30 days for all carriers. And, if a claim is pended for additional information, the request must be sent within 20 days of receipt of the initial claim. After 30 days, the carrier is required to pay interest. See http://www.leg.state.nv.us/NRS/NRS-6...#NRS690BSec012
    Cyndee Weston, CPC, CMC, CMRS
    American Medical Billing Association
    www.ambanet.net/AMBA.htm
    AMBACode Coding Software
    http://www.ambacode.net
    2015 AMBA National Medical Billing Conference
    http://www.ambanet.net/2015.htm

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