Hospitals filing Medical Payments coverage (MEDPAY) claims exemplify a critical aspect of healthcare administration and patient care financing. In the realm of medical billing and complex claim reimbursement, MEDPAY serves as a key resource, enabling hospitals to recoup expenses incurred in treating patients involved in automobile accidents. These claims ensure that hospitals are compensated promptly for the medical services they provide, irrespective of liability or other insurance coverage complexities.
What is MEDPAY?
Medical payments coverage (MEDPAY) is an add-on auto insurance policy covering expenses related to automobile accidents. This includes vehicle accidents with pedestrians and/or bicycles along with any motorcycle, ATV/Dirt Bike, Boats, basically anything with a motor and/or wheels. MEDPAY covers the driver and passengers in the vehicle, and any pedestrians injured.
Med Pay also covers injuries when the patient is injured while entering or exiting the vehicle (such as slamming a finger in the door) and during vehicle maintenance (like changing a flat tire). This coverage pertains to the policyholders and their resident relatives (those living with the policyholder).
Filing a Med Pay claim does not result in an increase in the policyholder’s premiums, so there’s no penalty for utilizing the coverage.
What Does MEDPAY Cover in Healthcare?
MEDPAY covers healthcare related services including rehabilitation and nursing care and is effective, whether it’s driver’s fault or not. The only time MEDPAY will not be effective is if the accident is caused from drugs and/or alcohol. Policy limits usually range from $1,000 – $10,000. In most cases.
What States have MEDPAY?
Most states offer MEDPAY, however a few states require the coverage (Maine, New Hampshire, and Pennsylvania). Some states offer personal injury protection, but not MEDPAY (Minnesota, New York, North Dakota, and Oregon). Some states offer both personal injury protection and medical payments coverage.
Filing MEDPAY Claims
MEDPAY claims provide hospitals with a reliable source of reimbursement for accident-related medical expenses and often result in quicker reimbursement compared to other types of insurance claims. MED PAY reimbursements can help cover or even eliminate deductibles, depending on the coverage amount in the policy. Filing MEDPAY claims can be an additional administrative burden for hospital staff, which can lead to delays in filing and reimbursements.
As hospitals navigate the intricacies of a healthy revenue cycle, efficiently handling complex claims like MEDPAY, will provide higher reimbursements and fewer outstanding AR days.
Transcend Health are experts at handling complex claims scenarios with precision and efficiency. We offer comprehensive revenue cycle management services, specializing in Motor Vehicle Accidents (MVA), Veterans Administration (VA), and Workers Compensation (WC) claims. Trust us to streamline your processes, maximize reimbursements, and alleviate administrative burdens, allowing you to prioritize patient care.
Outsourcing motor vehicle accident (MVA) claims is not just a cost-saving measure, it’s a strategic decision that significantly benefits healthcare organizations in terms of expertise, efficiency, scalability, and risk management. By partnering with specialized complex claim vendors, healthcare organizations can streamline their operations, improve compliance, and ultimately deliver better outcomes.
Learn more about how Transcend Health can help you with your MEDPAY claims.