Payer ID: PAPER
Date Range: Effective Immediately
Details: The Problem - Paper Claims with Bad Payer Addresses
Some Payers still only accept Paper claims. When Capario receives claims electronically, with Payer ID (PAPER) for these Payers, they are printed to paper and mailed to the payer.
If those claims have an incorrect address:
- • It wastes paper
• Some claims are delivered to a real, but unauthorized, address. PHI may be exposed.
• The claims can be rejected
• The claims may not get paid and revenue is lost
In an effort to prevent these possible PHI violations, Capario has implemented a new front-end rejection process for Payer ID (PAPER).
Capario has created a table of "bad" addresses based on:
- • Notifications from those who received a paper claim that was not theirs. It was delivered to someone other than the payer.
• Paper claims returned to Capario as undeliverable.
Submitter Actions:
To avoid rejections, verify that claims to Payer ID (PAPER) contain the correct, active, Payer address.
Sincerely,
Capario Production Team