Cashing in on out-of-state Medicaid claims!

Abstract

In summary, billing out-of-state claims can be time-consuming but productive. It just takes time, information from the states and consistent follow-up. Unicare Corporation began billing out-of-state accounts in 1989. Providers referred accounts to us that they normally would have written off--either because the balances were too small, they were not enrolled, or they did not have a large enough staff to dedicate time to this payer. In 1997, Unicare recovered more than $92 million for our clients. We accomplished this by focusing on uninsured admissions, medical necessity and out-of-state claims processing for providers.