States have passed mandates that require submitters to send Secondary Bill Review (SBR) or appeals using a pre-defined process that requires the inclusion of additional documents and applications for consideration.
Large submitters are directly affected by this new requirement, as submitting SBR transactions is a large part of managing AR and cash flow. While most large companies have manual workflows to handle the submission of SBR transactions with necessary supporting documentation (i.e. EOR, original bill and attachments, inclusion of necessary mandated forms) the additional jurisdictional requirements stress those processes dramatically.
WorkCompEDI® developed an automated way to efficiently process SBR transactions which has helped our clients save millions on potentially lost compensation for services rendered.
Submitters send EDI billing through WorkCompEDI®