Electronic Billing

Texas Mutual Insurance Company has launched its electronic billing system for health care providers. The system complies with workers’ compensation electronic billing requirements mandated by the Texas Department of Insurance. It also responds to providers’ requests for a streamlined, paperless billing process.

Texas Mutual Insurance Company contracted with Jopari Solutions Inc., a California-based supplier of eBilling and payment solutions for the insurance industry, to manage its eBilling system. Under the agreement, Jopari serves as a gateway between providers and Texas Mutual Insurance Company for electronic remittance advice and the submission of electronic bills and attachments.

Until now, the workers’ comp system did not require health care providers to bill carriers electronically, as they do in group health insurance and Medicare. That changed when the Texas Legislature overhauled the system under House Bill 7 in 2005.

Rules adopted by the Texas Department of Insurance, Division of Workers’ Compensation required health care providers to begin submitting their bills electronically by January 1, 2008. If a provider has less than 10 employees, and workers’ comp represents less than 10 percent of their business, they are exempt from these requirements.

To register for Texas Mutual electronic billing services, call Jopari at
(866) 269-0554.

For more information about electronic billing, visit Jopari at
www.jopari.com, go to the Texas Department of Insurance eBill home page, or download the Companion Guides.

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Texas Mutual^® is a registered service mark of Texas Mutual Insurance Company.