Portal Survey - Provider Claims Submission and Payment

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1. Please select your provider type:

Please select your provider type: Ancillary

Hospital

Physician group (includes hospital-affiliated physician groups)

Other

2. On average, how many claims do you submit to UPMC Health Plan per week / year?

On average, how many claims do you submit to UPMC Health Plan per week / year? 0-5/week (approx 0-250/year)

6-10/week (approx 250-500/year)

11-25/week (approx 500-1,200/year)

26-50/week (approx 1,200-2,500/year)

51-100/week (approx 2,500-5,000/year)

more than 100/week (more than 5,000/year)

3. Do you currently submit electronic claims to UPMC Health Plan?

Do you currently submit electronic claims to UPMC Health Plan? Yes - Directly to UPMC Health Plan (either through UPMC Health Plan website or using FTP)

Yes - Via Clearinghouse/Third Party

Don't Know

If you do not submit electronically, why not? What are the barriers?

4. Please select the reason why you submit paper claims to UPMC Health Plan.

Please select the reason why you submit paper claims to UPMC Health Plan. I submit COB claims via paper

I submit ER claims with notes via paper

I submit claims with attachments via paper

I am unfamiliar with electronic submission and use only paper

I do not have billing software and use only paper

Other

Other (please specify)

5. What % of your claims are UPMC Health Plan?

What % of your claims are UPMC Health Plan? 0%

10%

25%

50%

75%

100%

Do you submit claims to other payers electronically (Y/N)?

6. What benefits of electronic claims submission are most important to you?

What benefits of electronic claims submission are most important to you? Faster claims payment

Time/cost savings

Other cost savings (supplies, postage, etc)

Reduced paper clutter

Environmental

Other

If you submit electronic claims via clearinghouse/third party, what benefits does your clearinghouse/third party offer?

7. Do you receive your payments electronically (i.e., Electronic Fund Transfer)?

Do you receive your payments electronically (i.e., Electronic Fund Transfer)? Yes

8. Do you receive your remittance statements electronically (i.e., Electronic Remittance Advice 835)?

Do you receive your remittance statements electronically (i.e., Electronic Remittance Advice 835)? Yes

9. Do you find the EOP Remittance easy to read and understand?

Do you find the EOP Remittance easy to read and understand? Yes

If NO, do you have any suggestions for improvement?

10. Would you like the ability to view your EOP Remittance online via the Provider Portal instead of receiving a paper EOP Remittance?

Would you like the ability to view your EOP Remittance online via the Provider Portal instead of receiving a paper EOP Remittance? Yes

1. Default Section

1. Please select your provider type:

2. On average, how many claims do you submit to UPMC Health Plan per week / year?

3. Do you currently submit electronic claims to UPMC Health Plan?

4. Please select the reason why you submit paper claims to UPMC Health Plan.

5. What % of your claims are UPMC Health Plan?

6. What benefits of electronic claims submission are most important to you?

7. Do you receive your payments electronically (i.e., Electronic Fund Transfer)?

8. Do you receive your remittance statements electronically (i.e., Electronic Remittance Advice 835)?

9. Do you find the EOP Remittance easy to read and understand?

10. Would you like the ability to view your EOP Remittance online via the Provider Portal instead of receiving a paper EOP Remittance?