Category: Submit Claims

Regarding paper claims, the system maintains two statuses. They are New Paper and Printed. Paper claims for which claims have been generated and not yet submitted fall in the New paper bucket. When printed, they fall in the Printed bucket. 1. Select Charges from the main menu and then click on Submit Claims. 2. On […]

To search for electronic claims & batches, follow the steps below. 1. From the main menu, select Charges and then click on Submit Claims. 2. On the proceeding window, navigate to the Print/Re-Bill tab. Image 1 3. Select Batch Type as EDI and choose a Claim Status (see Image 1). To view claims between two […]

In order to download claim batch files, follow the below steps. 1. From the main menu, select Charges and click on Submit Claims. 2. The Submit Claims window opens up. Click on Unsubmitted Batches on the left pane to view the generated batches. Click on the Download link (highlighted in Image 1) against the generated […]

To batch claims according to the Date of Service (DOS), follow the steps below. 1. From the main menu, select Charges and then click on Submit Claims. 2. In the Submit Claims window that opens up, click on Ready to Submit from the left pane (see Image 1). Image 1 3. To batch claims for […]

Run Claims Validation Our Practice Management software will validate all the data elements on the claim form before generating the claim. The practice management system internally validates the claim against predefined rules built on clearinghouse specifications and plan-specific requirements. Claims not meeting the requirements are reported with validation messages for corrections before batches are generated. […]

A custom printer alignment facility is available for CMS forms. Image 1 Click on the Print CMS 1500 FORM or Print CMS 1500 DATA to open the CMS 1500 form/data (indicated by arrow marks in Image 1). Click on the button, and the printer alignment pop-up will open up. (see Image 2). Enter the values […]

Claim generation involves the creation of claim numbers for all charges which are ready to be submitted and grouping them into batches according to the batch grouping rule specified in the Billing Options. Submission involves sending the batches to the appropriate clearinghouses. I Claim Generation 1. Click on the Charges from the main menu and […]

Paper claims can be printed either from New Paper or from the Print/Rebill tab of the Submit Claims page. Follow the steps given below to print a paper claim. 1. From the main menu, click on Charges and then click on Submit Claims. 2. In the window that opens, click on Ready To Submit from the […]