Partner Academy

Category: FAQs – Charges & Claims

/FAQs / FAQs - Charges & Claims /

How to add a patient to an installment plan and generate installment letters?

1. Go to Charges from the main menu and select Edit Charges. 2. Search and select the Patient and the DOS. Click on the Patient tab and select Installment Plan. 3. Once the Installment screen opens, click on the  button to add a new installment. 4. To generate the installment letter, go to Generate Patient Statement(s) from […]

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How can you make the system autopost On Account amount to patient responsible lines when the payment is being applied either from manual or electronic posting screens?

This can be done from Advanced Setup → Billing Options. From the Billing Options screen, select the checkbox Yes for Auto Post Patient Payments. If the patient has an on-account amount, the system will automatically post the payment.

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Where can I see a file acceptance status (999 response) in the system?

To view file acceptance status, go to Charges from the main menu and select Submit Claims. Select the Claim History tab from the screen. Enter the required parameters and click on Search.

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How soon after submission does my claim get processed by the clearinghouse?

This depends on the clearing house. Relay Health takes 1-3 hrs , whereas Emdeon and Trizetto takes 24 hrs.

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How do I send a corrected electronic claim to major commercial carriers?

Go to Charges from the main menu and choose Edit Charges. Search for the patient and select the required DOS. Select the Resubmission Code as Replacement of Prior Claim and put the Claim # under Original Ref # and rebill it.

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If I change the start date of service on the line, how do I change the start date on the tree in the Edit Charges?

Go to Charges → Edit Charges. Search and select the patient, and then select the required DOS. Change the Date of Service Start from the Encounter tab and click on Save Enc.  

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How do I delete an entire claim? Does that claim still show up after deletion?

We cannot physically delete the claim; however, we can void it. But the charge will still be seen under edit charge screen in VOID status. Go to Charges from the main menu and select Edit Charges. Search and select the patient and choose the appropriate DOS from the Encounters section. Select the encounter line that should […]

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How do I print a claim from the Enter Charge screen?

Once we change the status to BILL_TO_PR underneath we have the option to check the box for printing HCFA 1500 and CMS 1500 we can choose one of them and click on save line and the form will appear on the screen.  

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How can I bill a line (procedure) to patient, when the entire charge other than the procedure has to be billed to the insurance?

There should be 2 cases one for Insurance and one for Self Pay then we can go ahead and bill the lines accordingly.

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Can I default the DOS to another date on Charge Entry Screen?

We cannot default the DOS. However, we can manually change the date of service.

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