How to submit Bills
Rules & Timeframe for Bill Payment Process
Check Bill Status
FAQ
Bill Reimbursement Process
When MAI receives a bill, we provide clinical editing reviews before submitting it to the BWC. Once the bill is approved by the BWC, we will process it and mail a check to the billing provider. The table below shows the expected timeframe:
| Days | Activity |
|---|---|
1 - 7 |
MAI enters the bill and ensures the bill is valid. If the bill is not valid, a letter is sent back explaining why. If the bill is valid, then MAI clinically edits and reprices the bill and submits it to the BWC |
8 - 15 |
BWC reviews the bill and transfers the funds to MAI. |
16 - 22 |
MAI prints and mails the check. |
Common Reason why Payment is Delayed
- Needed medical documentation is not submitted with the bill
- The claim or billed ICD9 is not in a payable status
- Billing provider is not BWC certified
- Missing required data items
- NPI # provided not registered with BWC and no WCID # provided
- No prior authorization for treatment or prior authorization has expired
28301
Ranney Parkway | Westlake, Oh 44145 | Main: 440.899.2400 | Toll-Free:
800.542.9479 | Fax: 440.899.2411