Why should providers file claims to I-AHC versus filing direct?
There are several reasons for filing through I-AHC. The first reason is that I-AHC is providing a service. There is a cost for that service. When providers join I-AHC they agree to pay for that service and to file the appropriate claims through I-AHC, from which we can obtain the necessary revenue (administrative fees) to continue operations. Other reasons for filing through I-AHC include: • In most cases, providers are added to the networks under I-AHCs group information. If you file direct, you will not be recognized as an in-network provider. • Filing through I-AHC ensures that the patient receives the benefit of going to an in-network provider. In many cases, the patient will select their provider because of a network affiliation. It is a disservice to your patient to file the claims improperly, which may result in high out of pocket cost for the patient. • By filing properly though I-AHC, we are able to establish a provider-patient relationship from the HCFA. In some cases, I-AHC
