Fringe Benefits Committee MinutesAttendees: Debbie Donnellan, Chair, David King, Janis King, Neosha Mackey, Terri Oehm, John Satzinger, Art Spisak, Alex Trombetta, Martha Tuttle, Howard Berriman, ex officio
Absent: Randy Blackwood, Tamera Jahnke, Alphonso Johnson
Guest: Sheen Arnold, Med Pay Representative
Ms. Sheen Arnold from Med Pay met with the committee to explain the function that they play in our health care insurance plan. The highlights of her comments are as follows:Med Pay processes our paperwork for us; they receive and review the medical bills and interpret whether the charge is covered according to the medical plan that the University devised and provided to them. If the charge is covered, they process a transfer of funds from the University in order to pay the claim.
- Medical bills are created using billing codes i.e. CPT and ICD9 codes for each visit/test/procedure--each representing a designated charge. These charges were set during our contract initiation with St. John’s.
- St. John’s has two billing centers–the Hospital and the Springfield Clinic (physicians)
- St. John’s tries to issue bills within 5-10 days of the date of service
- Employees should make sure the information at your Doctor’s office is accurate to prevent a hurdle in the billing process
- Medicare patients should make sure both the Medicare EOB and the Doctor’s bill is submitted to Med Pay
- Med Pay does not see a lot of claims from out-of-network specialists
- Med Pay feels St. John’s is doing much better with their billing than they have in the past.
Submitted by: Debbie Donnellan