1 Insurance Billing Unit Overview

2 Who We Are Group of coders and insurance professionals who generate claims on behalf of registered providers for submission to commercial insurance companies for payment determination. The unit was created in 2008 to assist Early Intervention providers in maximizing insurance payments.

3 Benefits of Using Our Unit 1. Help to maximize insurance payments. 2. Saves time for providers 3. Access to speak directly to EI-CBO staff regarding billing questions and issues. 4. We bill both the commercial insurance and the CBO on behalf of our providers. 5. Entirely free to currently enrolled Early Intervention Providers.

4 Benefit numbers

5 What We Do 1. Register providers and children. 2. Code encounters. 3. Prepare and submit insurance claims. 4. Handle claims status follow up. 5. Submit any requested information to insurance carriers to assist in accurate claims processing. 6. Prepare and submit appeals to insurance carriers. 7. Prepare and submit secondary claims to the CBO.

6 4 Easy Steps 1. Register as a Provider 2. Register the child 3. Submit encounter forms 4. Submit EOB’s

Provider Registration 7 Provider Registration (required forms) Provider Registration Form Conditions of Registration eCare Release Form Availity Release Form Navinet Release Form

Participant registration and Encounters Participant Registration (required forms) Participant Registration Form Evaluation and Script PSY and SW, script is not required Submitting Participant Encounter Forms* Participant Encounter Form Submit EOB No matter the outcome of a claim we need providers to submit us the EOB. 8

9 Contact Information 1. Website: 2. Fax- (217) Telephone- (800)

10 Questions? Thank You!!!