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EOBs from Commercial Insurance to EI Interim Fiscal Agent

 EI Billing Provider:

Many EI Providers have begun receiving EOBs from Commercial Insurance companies.  As you may know, this EOB information (that only you have) must be processed before your claim can continue through the billing cycle. Many of these EOBs will be received electronically, but some insurance companies have only been sending paper remittance information, and they have been sending it to places other than the Interim Fiscal Agent (IFA). In order to process these claims further, EI Providers need to check the EIBilling website to see if the EOB information was received electronically.

You will check these claims using the patient account number (sometimes also called the patient control number). This number will begin with the letters “CS”, “IB”, or “SBA”. If you search for the claim and see that EOB information was already received, you do not need to do anything further with that EOB information. If the EOB information was not received electronically, you will need to enter it and fax the EOB information that you received to the IFA so that it can be audited.

The fax number for sending EOB information to is 1-518-836-0400. Keep in mind that you should only fax EOB information which the IFA has not received (EOB information that you had to enter manually). Sending extraneous information will slow down the processing of claims and delay payments.

For a more detailed explanation of how to enter the EOBs, please see the following knowledge base article:

Please contact the Customer Service Center at 1-866-315-3747 Monday-Friday 7am-7pm if you have any further questions.

Article ID: 90, Created On: 7/10/2013, Modified: 10/28/2015

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