Billing - Need Invoice and Electronic Claim Generation

Answered

Comments

4 comments

  • Official comment
    Avatar
    Alexandra Dunne

    Hi Emily,

    I spoke with the product team and they let me know they are aware of this use case and unfortunately, AlayaCare doesn't currently support: 

    • Coordination of benefits (multi-payor billing) for electronic billing claims.
    • Paper claims for the either professional (SCM 1500) or institutional (UB 04) billing.
    Neither of these features are currently on the roadmap but they are both on the team's radar for the future. 
     
    I hope that answers your question.
    Alex
    Comment actions Permalink
  • Avatar
    Alexandra Dunne

    Hi Emily,

    Great question. Let me ask the team and get back to you once I have an answer.

    Alex 

    0
    Comment actions Permalink
  • Avatar
    Emily Wiechmann

    Hi Alex, I'd like to revisit this one if I can, because I think my original ask may not have been communicated well. We do not need to print a CMS1500 or UB04 on an patient with an electronic funder source. Waystar can do that for us. What we need is the ability to print a generic AlayaCare standard invoice on a patient with an electronic funder. The use-case is as follows:

    - 5 or 6 of my patients are funded by BCBS primary (paper invoice for billing) and Medicaid (electronic funder) for secondary. AlayaCare can't handle this billing scenario currently, so we have to pick one or the other funder type to put in AlayaCare, and are left manually generating the other claims/invoices as needed. We enter all these as Medicaid / electronic so that when the time comes to submit the more complicated secondary claim to Medicaid, we can do that electronically.  Because of this, we now have to manually type up a generic paper invoice to send along to the primary payor, BCBS, and we are making mistakes on them. We copy / paste the AlayaCare standard invoice, have it in excel, and are manually editing this format as needed to send out our BCBS claims, but it is time consuming and causing errors in billing. 

    My ask would be that we are given the ability to print a generic invoice (not a paper claim, just a generic AlayaCare invoice) on any patient, regardless of their funder type being electronic or not.

    1
    Comment actions Permalink
  • Avatar
    Alexandra Dunne

    Hi Emily Wiechmann,

    Thank you for the additional context on this. I'll be sure to pass it along to the team for consideration.

    Alex 

    0
    Comment actions Permalink

Please sign in to leave a comment.