By: BJ Dempsey
Recent work with many CHC’s has identified a challenge. We frequently find patients using multiple versions of a name. Here is an example from our CHPA Team:
- My legal name (on my government issued identification card): Betty Jane Schultz Dempsey
- Preferred: is BJ Dempsey
- Name on the health insurance card: Betty Dempsey
For medical claims to process correctly, the name on the claim must directly match the name on the insurance card. In this case, “Betty Dempsey” is correct. This includes initials and suffixes, such as Jr., Sr.
The impact of improperly submitted claims affects:
- Revenue
- Attribution
- Performance on quality metrics
- Performance on CHPA distribution score card
Additional reminders in this area are the importance of scanning or copying the identification card and the insurance card and accurately recording the payer type in the demographic section of the record.
This is another example of Team Based Care, it takes many disciplines and roles to provide care for our patients, to be compensated for that work and to have performance accurately reported.
Please reach out if you have any questions.
