Question

• Why do the medical insurance billers need to understand DEERS for TRICARE?
• Who is responsible for the payment for a workers’ compensation case?
• Why are separate medical records necessary for workers’ compensation?

Answer 1

1) The medical insurance billers need to understand DEERs for TRICARE because Defense Enrollment Eligibility Reporting system (DEERS) is meant for providing the eligibity of benefits and other claims or allocations .

DEERS determines the claim coverage of TRICARE that is a health program basically for the uniformed service members , retire people and their families . DEERS in association with DoD , the eligibility information is determined for the claim of insurance , that's why it is needed to understand DEERS for TRICARE healthcare program or insurance .

2) The payment for a worker's compensation case is basically arranged by public system . This publically sponsored management of payment is basically pay the benifits to the workers in the condition of emergency like if someone got injured and disabled during their employment time . Its a kind of insurance we called it the worker's compensation .

3) The separate medical records are necessary for workers’ compensation because these medical records have all the data of injuries and medical issues , so that these are necessary to maintain so can used later .

The improper and insufficient medical documentation will lead to deny the claim and payment . So, the proper medical records are maintain so that all the necessary details are stored there so that in last moment , there should be no delay in claim and it will comfortable for both the insurance company and the worker too.

The insurance claim is given by checking these records . If the injury is verified before it approved the additional medical facilities which involves the treatments. If records doesn't show the injury and the issues and it severity , the claim will denied and they will deny the payment for the treatment .