If you file paper claims to a clearinghouse, are the claims presumed to be mailed from the clearinghouse? Does the electronic log from the clearinghouse substantiate claim submission?
If the carrier has agreed to accept the clearinghouse’s electronic log as proof of claim mailing, then the log will establish that proof. If you have no such agreement from the carrier, the electronic log would provide proof of claim mailing only if it contains all of the information set forth in 28 Texas Administrative Code ยง21.2816(h) and the clearinghouse encloses the log with the claim submission and faxes or electronically transmits the log to the carrier at the time the claim is submitted.
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