Portal is Reopened for Single/Bundled Non-Air Ambulance Disputes Today, October 6th, 2023, CMS sent...
Prevent Claims Submission Errors with an IDRE: A Quick Guide to How Links Are Triggered
Submitted an offer to an IDRE but haven’t received a link or invoice yet? There’s a reason for that. While the IDRE is responsible for sending both links and invoices, errors can occasionally disrupt the process. At FHAS, links and invoices are intended to be sent simultaneously—on the same day, or even hour. However some common issues can lead to delays.
Missed Link or Invoice? Understanding the Key Triggers
The reason some parties receive a link days prior to the invoice or vice versa is often due to missing steps in the invoice triggering process. Each entity follows its own invoicing process, but certain universal steps can help ensure that links and invoices are synced.
To trigger a link successfully, an IDR entity must make three key selections in the dispute process:
- Status: Pending Payments
- Dispute Eligible: Yes
- COI Exists: No
If any of these are not selected, the link won’t be triggered, leading to delays or errors in the invoicing process.
Three Common Causes of Invoicing Link Errors
If you're attempting to submit your offer and notice that not all of your claims are listed, or you're encountering an error, here’s what could be happening.
Entities are responsible for determining the eligibility of claims, both at the dispute level and for each individual claim. If an entity finds that one or more of your claims are ineligible, they’ll mark them accordingly. As a result, those ineligible claims won’t appear when you submit your final offer.
However, if all your claims are listed and you’re still receiving an error, there are a few common reasons why this might occur:
- Expired link: Ensure you’re submitting your offer before the expiration date—typically, midnight EST on the date specified in the offer link.
- Status not set to Pending Payments: If the status isn’t set correctly, you'll encounter errors when submitting your offer.
- Incorrect dispute eligibility settings: Double-check that the dispute is marked as eligible.
By staying on top of these settings, you can fix invoicing link errors before they become a problem.
Quick Tips for Fixing Link or Invoicing Errors
Here’s a simple checklist to keep handy when dealing with invoice triggering issues:
Submit your offer before the link’s expiration date (usually midnight EST).
Ensure with the IDRE the status is set to Pending Payments.
Verify with the IDRE that the dispute is marked as eligible.
Double-check with the IDRE that the COI is marked as "No."
By following these steps, you’ll minimize errors and ensure smoother claims submissions.
Still Need Help? Let FHAS Be a Resource
If you’re still having trouble, don’t hesitate to reach out to the entity responsible for sending your link and invoice. At FHAS, we strive to provide clarity throughout the IDR process. We also utilize a quality check process to ensure links and invoices are sent on the same day. Fixing submission errors doesn’t have to be complicated. With some best practices and good communication with your IDRE, you can avoid claims submission errors.
As the nation’s premier Independent Dispute Resolution Entity, FHAS is dedicated to delivering fair outcomes through an efficient, end-to-end system. Our comprehensive approach provides all parties with impartial guidance and timely, transparent resolutions to disputes. A smooth process is the result.