Now that healthcare reform is the law of the land many changes are in store across the spectrum, EOBs are no exception.  The new law states that within 6 months all EOBs are to undergo one significant change - clearly stated appeals process.  This is great news for providers and patients alike because we will no longer need to chase down claims representatives to find out how, or to whom, we must send an insurance appeal.  Eventually, ”internal” appeals to insurance companies may go away altogether to eliminate conflicts of interest, and all appeals will become ”external”, meaning a state agency will decide the merit of any appeal, not the employee of an insurance company.  Of course, a conflict will still exist for Medicare/Medicaid/Fed. programs as they do today.

Tagged as: Chiropractic, healthcare reform