Would standardization and simplification of the questions asked by the payer make the claim adjudication process easier?
Yes, without a doubt. Some payers ask questions of the patient or subscriber for which the answers should already be in their data base. 24. Do you have any suggestions that would assist us in the task of standardizing the requests for additional information from payers? Standard rules need to be created and federal law changed to make all payers follow those rules. Payers should be forced to modify their internal systems rather than forcing every provider to provide information which payers should already have. This is especially true of the self-insured plans and managed care plans. 25. Would the automation of health care claim attachment information and standardization of the payers’ requests for information reduce operating costs for your facility? Automation and standardization would allow providers and third party vendors to develop data elements within their internal systems. This is not feasible at the current time due to the wide variety of requests. 26. Can you clearly differ
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