Insurance Remittance Processing Update

In order to control the flow of remittance data entry, PCG would be glad to manually enter EOBs for providers. Providers can send EOBs via secure fax line directly to PCG (for more information on how to do this, see this Knowledge Base article). As part of our entry process, PCG checks first to see if the insurer has already entered remittance data electronically. This allows us to ensure that there is no duplication of data entered into the system. Note: If a provider has previously opted-out of the PCG entry option, they may opt back in at any time by sending an email to nyeibilling@pcgus.com.

Providers can also manually enter their own EOBs. Step-by-step instructions for manually entering EOBs through EIBilling.com can be found in this Knowledge Base article. Please keep in mind when entering EOBs that remittance data may have already been entered electronically by the insurance carrier.

PCG is currently receiving electronic remittance from the insurance carriers listed below. Depending on the carrier, PCG receives remittance data on a weekly, bi-weekly, or monthly basis. These 15 plans represent over 90 percent of the total number of commercial insurance claims processed in EI Billing.

A good resource for remittance information is the new Insurance Remittance Data Report available on EIBilling.com. This report offers new and enhanced functionality for providers, including greater search capability for specific remittance data, and more efficient sorting and exporting of relevant data. The tutorial for this report can be accessed here: Insurance Remittance Data.

If you have any questions, please contact the PCG Customer Services Center at (866) 315-3747.