Their system should be revised to hold this information rather than require an attachment. Many payers apparently require attachments to cover the deficiencies in their internal systems. 92 formats back to UB-82 for processing. There are many elements unique to the UB-92 that may not convert. This may also explain why some commercial payers require their own form attached to the claim.
Federal legislation is needed to control attachments and the effect of attachments on payments.
We have accomplished nothing if we forbid attachments and payers hold claims waiting for the patient or subscriber to complete and return their referral form. We know of some payers today who are guilty of this. EOB's should not be required when payers begin forwarding adjudication information to subsequent payers. The rules need to state clearly that subsequent payers must accept the electronic format and not require separate claims submission with copies of EOB's attached. An excellent candidate for electronic attachment is the ER report that New York state has added within their system.