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Claims

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Are all claims filed electronically?
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Will my claims really get paid faster?
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Does Paz provide any reports after claims are submitted?
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What happens if a claim is denied or paid incorrectly?
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I am a Medicaid Provider but not in South Carolina.  Can you still file my claims?

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Are all the claims filed electronically?
All claims will be sent electronically through a clearinghouse whenever possible.  If not, paper claims will be computer generated.


Will my claims really get paid faster?
Yes.  Electronic claims are always processed before paper claims, and because of the electronic tracking methods in place, the insurance companies can’t claim they never received your claims.
 

Does Paz provide any reports after claims are submitted?
After claims are submitted, Paz will provide you with various monthly reports detailing claim status i.e. claims submitted, claims paid, etc. [Top]

What happens if a claim is denied or paid incorrectly?
Paz will:
1. Always Re-file claims/follow-up on claims that have been denied due to a coding error. This happens rarely but be assured, Paz will work diligently to resolve the issue.
2. For both Tier 1 & 2 clients (see Fee Schedule),  Paz will research and challenge (as necessary) all denied claims with perseverance.  Supporting documentation  (i.e. medical summary) may be requested from you in order to resolve denied claims.


I am a Medicaid Provider but not in South Carolina.  Can you still file my claims?
Yes! Every state's Medicaid program is different thus it's a matter of submitting claims per your states rules and regulations.
 
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Updated 3/1/08
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