The BHG Claims Department is responsible
for assisting the agencies in our provider network with their
claims submission. We employ a professional Claims Specialist
with over 15 years of experience in the insurance industry.
It is her job to help the agencies submit their billing files
and claims in conformance with State rules and regulations
to minimize rejected files and denied claims.
The Claims Specialist monitors various reports from the
state to identify files and individual claims that have been
rejected due to errors. If a file and/or claim is rejected
she will notify the provider and give them an explanation
of why it was rejected and what needs to be done to correct
it. She works closely with the provider's billing department
to get their claims paid and reduce the turn-around-time on
their receivables, thus improving the provider's cash
flow. If this service was not available and errors were not
caught and corrected, the billing cycle could be extended
by over 30 days or the claims could even go unpaid.
The Claims Specialist also provides telephone support and
on State and County rules and regulations.
During FY03, BHG processed almost 600,000 claim lines for our
Boards. This eliminates a significant administrative burden
on our member boards, freeing up their time for other mission
To learn more about how BHG can assist your board or agency
please complete our information request