CCC News & Insights

April 23, 2021

Casualty eBilling: Faster, More Cost-Efficient Bill Processing for First-Party Casualty Claims

Technology is transforming the way insurance carriers manage casualty claim severity. At CCC, we help carriers manage their claims by aligning injury causation analysis, digital bill intake, and other advancements to more efficiently address medical bill payments.Using artificial intelligence, machine learning, and data analytics, we’re helping insurance carriers digitize claims management to improve efficiency and achieve faster, more consistent resolutions.Electronic billing can further improve efficiency by minimizing paper-based submissions and manual data entry, creating a streamlined end-to-end digital process for first-party casualty claims. With faster bill submission and reconciliation, insurers can handle claims with greater efficiency and control — which can lead to cycle time reductions.

How eBilling Works

CCC works with Carisk, a medical billing clearinghouse, to enable healthcare providers to submit auto casualty bills and supporting documents electronically, speeding up the pre-adjudication step in the first-party casualty process.Providers can submit bills and documentation directly to Carisk — or through their existing clearinghouses — via EHR/EMR system using an insurance carrier’s payor ID. Once submitted, the carrier processes the bill for reimbursement, and the clearinghouse returns adjudication and payment details to the provider, enabling auto-reconciliation.

Easier Submissions, Faster Results

Electronic billing for casualty claims delivers several benefits to both healthcare providers and insurance carriers:1. Easy Bill Submission and Document ManagementFor providers, eBilling not only reduces paper submission but also enables them to leverage checks and balances to ensure accuracy. For insurance carriers, this means faster bill intake and management with an entirely digital workflow.2. Faster Turnaround TimePaper submission can add days or weeks to cycle time, which leads to reimbursement delays for providers. With faster bill intake and management, carriers can streamline medical bill review and processing to reduce cycle time and provide more timely reimbursements to providers.3. Auto-ReconciliationWith eBilling, healthcare providers can enable auto-reconciliation within their EMR/EHR systems using an 835 data file. Auto-reconciliation further reduces mail delays, providing additional cycle time improvements for insurers.

It’s Time to Go Paperless

With electronic billing, both healthcare providers and insurance carriers can realize several benefits, including efficient, cost-effective bill processing to reduce cycle time and deliver faster reimbursements.Healthcare providers can enroll in eBilling by visiting Providers using an existing clearinghouse can begin submitting eBills today.Visit to learn more.