Group Billing Procedures
back to manual home | next
section
Group Remittance Due Date
The payment of your group billing is due on the first day of the billing cycle (payment
by the due date will ensure that changes are reflected on your next billing). You
should receive your group billing approximately 10 days prior to the due date. Payment
for health care protection is, therefore, paid in advance. For example, if your
due date is the first of the month, payment is received and credited for the first
day through the end of the month. If your due date is the 15th of each month, pre-payment
would extend from the 15th of the month through the 14th of the next month.
top
Group Billing Instructions
Please refer to the sample billing links under "Group Billing Instructions" above.
top
Pages 1 and 2 of Group Bill - Instructions
Page 1 is for all adjustments (deletions) for employees terminating employment.
Page 2 is a duplicate of Page 1 for your records.
Example: Deletions
To complete adjustment area, enter employee name, ID number, and amount of adjustment
"Minus." Adjustment only should be taken for employees that have ended their employment
since the last billing.
It's important to note that if your company fails to provide timely notice of a
change in the eligibility status of an employee or dependent, it will result in
the group being liable to Arkansas Blue Cross and Blue Shield for any claims paid
in error.
- Your Group Number will appear in this position on each page of the group
billing.
- An Invoice Number is assigned to every statement.
- The Group Billing Summary includes the roster total, amounts due/credited
from prior billings, adjustments and the total amount due.
Calculate your amount of adjustments and enter in the space provided under the amount
due. Subtract the "total of adjustments" from the amount due and enter in the space
provided for total premium remitted. (Please make sure that you return Page 1 with
your check; your check matches the total premium remitted; and that your group and
invoice numbers are on the check.)
top
Page 1 of Group Bill - Sample:
NOTE: PAGE TWO IS A DUPLICATE OF PAGE ONE FOR YOUR RECORDS.
Anywhere Arkansas
000 East Broadway
North Little Rock AR 72203
|
|
Page:
Group Number:
Invoice Number:
Coverage Period:
Date Prepared:
For Billing Questions:
Unit ID:
|
1
000005
10000463
09/01/07 to 10/01/97
08/21/97
|
Payment due: 09/01/97
*** Group Billing Summary ***
Roster Total
Carry Forward
Deletions due to terminations
Amount Due
Adjustments
Total Premium Remitted
|
$492.00
$246.00
$246.00
________
________
|
Please return this page with your payment.
Use the return envelope to mail your payment.
Remember to write your group number on your check.
Note: All Adjustments to the invoice amount must be recorded below or on a separate
sheet. In lieu of this, a photocopy of your billing with the adjustments indicated
may be forwarded with your payment.
|
|
**************************************
|
|
Adjustments: (Deletions only – Do not add or make changes to bill)
|
|
|
Name
|
ID Number
|
Amount
|
+/-
|
|
Total of Adjustments
******************
|
|
$
|
_________________
_________________
|
top
Page 3 of Group Bill - Description
This page provides a roster listing of each member of your group.
- Benefit Package — A detailed description of the health benefits provided
within your group's policy.
- Contract Type — Examples of contract types are employee, employee/children,
employee/spouse, and family.
- Employee Adjustments — Adjustments will be listed following the member
roster.
- Outstanding Invoices — If, at the time the billing was generated, your
group had outstanding invoices (or billings), those invoice number(s), due date(s),
and amount(s) due would be recapped in this area.
top
Page 4 of Group Bill - Description
Contract Type Counts
This section contains benefit package descriptions, which are descriptions of each
benefit package listing all contract types provided in each package and the total
number covered in each package.
top
E-Billing
Non-BluesEnroll Groups
eBill Manager is an online invoice presentation, adjustment and payment system.
The system allows you to receive and pay your health plan invoices electronically.
eBill Manager provides:
- Secure invoice delivery
- The ability to make adjustments to the invoice
- Online payment capabilities
- Consolidated invoices (health, dental, life and more)
- The capability to accrue up to 18 months of invoice history online
- Ability to download invoices into Excel or PDF formats
- Ability to construct reports from invoices
Due to the electronic delivery of invoices, eBill Manager allows for invoices
to be created two weeks later than traditional paper invoices, resulting in more
time for transactions related to the health plan to be created and processed. The
result is invoicing that more accurately reflects the status of your health plan
membership.
In addition, eBill Manager allows you to make adjustments to the invoice
for situations where cancellations or coverage reductions were not already created.
Follow the online instructions to remove employees that no longer are on the health
plan or to adjust the coverage level (employee only, family coverage, etc). Your
payment due amount will be appropriately adjusted.
A condition of using eBill Manager is the requirement to obtain and retain
all change form documents (signed by the employee) authorizing changes to coverage
levels or for dropping health coverage. While these documents no longer are required
to be submitted to create these transactions, it is required that these documents
be retained by the employer as a condition of the ebilling contract.
NOTE: Invoices cannot be adjusted for additions to the health plan membership;
all additions to the health plan still required the submission of an employee application.
Subsequent invoices will show the results from the additions.
eBill Manager is supported by the regional internal and external group service
representatives. For help in obtaining access to eBill Manager or for assistance
in using the product, please contact your local regional office.
top
BluesEnroll Groups
Please remember that a condition of using eBill Manager is the requirement
to obtain and retain all "Change Form" documents (signed by the employee) authorizing
changes to coverage levels or for dropping health coverage.
Note that additions to the health plan membership must be made through BluesEnroll,
and the invoice cannot be adjusted to reflect new enrollees (these will be adjusted
on the next invoice).
top