Printer Friendly
The Free Library
14,670,786 articles and books
Member login
User name  
Password 
 
Join us Forgot password?

Carrier ID numbers.


Figure. In this example, Aetna's reimbursement percentages
range from 53 to 28%.

                                               Data
                                                             Total
                                                           Allowed
  Carrier ID  Carrier Name                     Total Fees   Amount

AN095         ANTHEM                              666,688  269,426  40%
ME001         MEDICARE PART B OF INDIANA          486,206  193,362  40%
SA001         SAGAMORE                            150,223   70,449  47%
AE572         AETNA                                47,612   21,193  45%
AE567         AETNA                                33,099   16,122  49%
AE187         AETNA HMO                            28,466    9,197  32%
UN018         UNITED HEALTH CARE                   22,570    9,777  43%
UN352         UNITED HEALTH CARE                   21,155   12,867  61%
MO001         MORRIS ASSOCIATES                    19,465    8,932  46%
AE574         AETNA                                18,985    5,354  28%
CI5485        CIGNA                                18,428    8,656  47%
UN022         UNITED HEALTHCARE                    17,627    6,797  39%
JF004         JF MOLLOY                            17,533   10,205  58%
UH005         UNITED HEALTHCARE                    16,869    8,127  48%
UN906         UNITED HEALTHCARE                    16,636    9,762  59%
EL002         ELECTRICAL WORKERS BENEFIT           15,522    6,057  39%
AE566         AETNA                                14,293    6,326  44%
AE045         AETNA                                14,288    7,560  53%
LO001         LOCAL 135 HEALTH & WELFARE           13,162    7,338  56%
AL114         ALLIED BENEFIT                       11,757    4,057  35%
SA002         SAGAMORE                             11,652    6,125  53%
NY016         NYHART                               11,218    6,528  58%
UN181         UNITED HEALTH CARE                   11,083    4,901  44%
ME036         UNITED HEALTHCARE                    11,079    3,013  27%
JO001         JOHN ALDEN LIFE INS CO               11,070    4,891  44%
ME140         MEDICAL MUTUAL                       10,777    5,283  49%
CB003         CBSA                                  9,755    4,045  41%
HU028         HUMANA CLAIMS                         9,327    3,728  40%
KE004         KEY BENEFIT                           9,301    7,577  81%
CO049         CORESOURCE                            9,127    4,046  44%
TR302         TRICARE REGIONS 2 AND 5 CLAIMS        8,984    4,269  48%
ME005         MEDICARE RAILROAD                     8,273    3,327  40%
AE573         AETNA                                 8,268    3,108  38%
HU025         HUMANA CLAIMS OFFICE                  8,155    3,353  41%
CI419         CIGNA                                 7,867    4,110  52%


Your practice should search reimbursement Reimbursement

Payment made to someone for out-of-pocket expenses has incurred.
 by carrier identification number. For example, all carrier IDs for Aetna Aetna, volcano: see Etna, Italy.  begin with AE, Cigna with CI, etc. It is important to use ID numbers because many large payers have numerous plans (in one practice alone, Aetna had 38 different plans). Reimbursement percentages can vary widely among them (figure).

[FIGURE OMITTED]

Frequently, six to ten payers reimburse re·im·burse  
tr.v. re·im·bursed, re·im·burs·ing, re·im·burs·es
1. To repay (money spent); refund.

2. To pay back or compensate (another party) for money spent or losses incurred.
 most claims. Medicare Medicare, national health insurance program in the United States for persons aged 65 and over and the disabled. It was established in 1965 with passage of the Social Security Amendments and is now run by the Centers for Medicare and Medicaid Services.  is usually one of them.

Dr. Isenberg Isenberg was a County of mediæval Germany. It was a partition of the County of Altena, and was annexed to Limburg-Isenberg in 1242. Counts of Isenberg (1191 - 1242)
  • Eberhard II of Altena, count of Altena and Isenberg (born 1180, died 1209)
 is an otolaryngologist in private practice in Indianapolis Indianapolis (ĭn'dēənă`pəlĭs), city (1990 pop. 731,327), state capital and seat of Marion co., central Ind., on the White River; selected 1820 as the site of the state capital (which was moved there in 1825), inc. 1847. ; sisenberg@good4docs Short for documents or documentation. .com
COPYRIGHT 2005 Vendome Group LLC
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2005, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

 Reader Opinion

Title:

Comment:



 

Article Details
Printer friendly Cite/link Email Feedback
Title Annotation:PRACTICE MANAGEMENT CLINIC
Author:Isenberg, Steven F.
Publication:Ear, Nose and Throat Journal
Date:Aug 1, 2005
Words:388
Previous Article:Myeloid sarcoma.(PATHOLOGY CLINIC)
Next Article:Sialadenoma papilliferum involving the nasopharynx.(HEAD AND NECK CLINIC)



Related Articles
Description of a combined internal medicine--pediatrics continuity clinic for combined program residents.(Statistical Data Included)
Clean claims are key to timely reimbursement, but be vigilant. (Practice Management Clinic).(Brief Article)
Stress and the obstetrician.(Editorial)(Editorial)
New clinics to expand health options.(Health)(A federal grant funds establishment of a three-site network offering care to those who might not...
Extending nursing practice.(PRACTICE)
Class action lawsuits.(PRACTICE MANAGEMENT CLINIC)
Physician governance--the strength behind St. John's Clinic.
Clinic a check on pet numbers.(Animals)(A new venture in Springfield hopes to help fill spiraling community demand for low-priced sterilization...
Using strategy: the evolution of a medical practice.(Practice Management)(Author abstract)(Company overview)

Terms of use | Copyright © 2009 Farlex, Inc. | Feedback | For webmasters | Submit articles