Total Care Under One Roof
   
 

Policies and Procedures
bullet Providers Disclosures
bullet Claim Filing
Time Frame
bullet Submission
of Claim
bullet Complete Claim
Definition
bullet Claims Submission
Information
bullet Acknowledgement
of Claims
bullet Denied or
Contested Claims
bullet Reimbursement
of Claims
bullet Interest on
Late Payment
bullet Overpayment
of Claims
bullet Dispute Resolution
Process
bullet

Fee Schedule

 

Interest on Late Payment of Claims

 

The late payment on a complete claim for emergency services that is neither contested nor denied will automatically include the greater of:

  • $15 for each 12-month period or portion thereof on a non-prorated basis
  • Interest at the rate of 15 percent per year for the period of time that the payment is late

If Serra Community Medical Clinic, Inc does not automatically (within five days of the late -claim payment) include the interest fee with a late -paid complete claim, an additional $10 will be sent to the provider of service.

 

If Serra Community Medical Clinic, Inc fails to notify the provider of service in writing of a denied or contested claim, or portion thereof, and ultimately pays the claim in whole or part, computation of the interest will begin on the first calendar day after the applicable time period for denying or contesting claims has expired.