Electronic Submission of Claims Sample Clauses

Electronic Submission of Claims. Provider is expected to submit claims electronically via the TPA web-site for all services in which the Purchaser is the primary payor. This requirement may be waived with written approval by Lakeland Care’s Network Relations Director. Please contact Lakeland Care’s Network Relations Director to request release from this requirement. a. When Provider electronically bills or conducts any of the electronic transactions covered by the Health Insurance Portability and Accountability Act (HIPAA) with the Purchaser/TPA, then Purchaser/TPA and Provider shall conduct all electronic health care administrative transactions covered by HIPAA consistent with the Electronic Transactions and Code Sets Rule. b. Electronic claims must be submitted according to the TPA requirements for billing, including all of the elements of a clean claim, listed above. Information on electronic filing requirements with WPS, Lakeland Care’s current TPA, may be found at: xxxxx://xxx.xxxxx.xxx/providers/index.shtml or the Provider page on the Lakeland Care website (xxxx://xxx.xxxxxxxxxxxxxxx.xxx/).

Electronic Submission of Claims. The settlement website will be programmed to allow Class Members to submit their claims through the website without the need to print a paper copy of the Claim Form. Electronic signatures shall be accepted by the Claims Administrator and the Claims Administrator shall make provision for receiving such electronic signatures. The Claims Administrator, however, shall provide a paper copy of the Claim Form to any Class Member and will process timely received paper copies of the Claim Form in the same manner as those provided electronically. No preference will be given to Claim Forms based upon whether it was submitted electronically or on paper. The settlement website will further be programmed to provide a unique confirmation number along with a recitation of the Class Member’s name, details of the claim made, as well as the date and time of the claim submission. This confirmation information will include a statement advising Class Members to print or save a copy of the confirmation information.

Electronic Submission of Claims. Provider is expected to submit claims electronically via the TPA web-site for all services in which the Purchaser is the primary payor. This requirement may be waived with written approval by the LCI’s Provider Network Director. Please contact the LCI’s Provider Network to request release from this requirement. a. When Provider electronically bills or conducts any of the electronic transactions covered by the Health Insurance Portability and Accountability Act (HIPAA) with the Purchaser/TPA, then Purchaser/TPA and Provider shall conduct all electronic health care administrative transactions covered by HIPAA consistent with the Electronic Transactions and Code Sets Rule. b. Electronic claims must be submitted according to the TPA requirements for billing, including all of the elements of a clean claim, listed above. Information on electronic filing requirements with WPS, LCI’s current TPA, may be found at: xxxxx://xxx.xxxxx.xxx/providers/index.shtml or the Provider page on the LCI website: xxxx://xxx.xxxxxxxxxxxxxxx.xxx/).