Many payers are requiring the copy of the medical chart before payment. But if a payer has requested a chart in the past, all future claims will be sent with a copy of the chart. Standardization and simplification would make claims processing easier. Problems would arise when payers arbitrarily add additional questions in the claims process without approval from a governing body. Providers population of all locators.
Payers gleam only that information they require for claims adjudication.
Payers then forward the complete data set with their additional processed data to the secondary carrier. Legislation be introduced and passed requiring all payers and providers to adopt the standards. Operating costs would be reduced in one time programming, labor for copying, costs for supplies, etc. Standardization of maximum provider data elements and format and codes and payer requests for information will reduce costs for both payers and institutional providers alike. Medical practice providers will experience difficulty.