Selecting a different Provider on the Line Level (24J – Rendering Provider on the claim form) v/s the Claim Level – The Line level Provider can be used in billing scenarios where the Provider’s Asst. (or Physician Asst.) may have rendered the service to the patient, but the claim may need to be billed under […]
Category: FAQs – Charges & Claims
How do I Correct and Re-bill Claims?
Navigate to Charges module from the main menu and then click on Edit Charges. On the Charge Master window, pull up the Patient and select the Encounter. Click on the Encounter tab to make the required encounter level changes. Click on the Details tab to make the required claim level changes. Click on Save Enc. button after making […]
How Do I Read a Claim Log Report?
1. Choose the Submit Claims option under Charges Main Menu. 2. Submit claims page opens up as follows. 3. Invoke Claim Log tab and Select the Claims Detail Report. 4. Choose the search parameters such as Claim Date Range, DOS Range, Claim Batch Type, Legal Entity, Insurance Level, Claims Receiver etc as you wish to filter the claims. Enter […]
Where do I Enter Box 10d and/or Box 19?
Box 10d is used to report the appropriate Claim Code or the Condition Codes whenever required and Box 19 is used to identify additional information about the patient’s condition or the claim. This information can be entered into a claim from the Edit Charges/ Charge Master screen. Pull up the required charge in charge master, […]
How Do I Update A Posted Charge On Hold?
Navigate to Charges from the main menu and then click on Edit Charges. On the proceeding Charge Master Screen, pull up the patient and select the encounter. On the encounter line, select the Status as HOLD corresponding to the charge that needs to put on hold and then click on the Save button at the […]
How do I Add a Charge without an Appointment?
To add a charge without an appointment, select the Charges module and click on Enter Charges from the left side menu. Click on the button. On the new charge entry screen, select the Patient. Follow the normal charge entry procedure to enter the other details. Click on Save after entering all the required information.
How do I Post the charge to a new insurance?
From the Main Menu, select Charges and click on Edit charges to open the Edit charges page. When the Edit charge page opens up, click on the patient field and enter either the patient name or MRN# to search patient. As you type the patient details, a list of patients appear as a drop-down list […]
How Do I Print Claim Status Report With Batch Upload/ Download Status?
The Claim Log Report on the Submit Claims (Claims Workbench) would list the batch and upload/ download status. Alternatively, you can also look up this same report from the Report Central. This report is available under the Claims and Denials section and named Claims Detail Report.
Why am I seeing lot more claims batched, whereas, I had mass rebilled & generated a lesser number?
You have the option to rebill multiple claims from the Mass Rebill (Print/Rebill) screen. You can also have the claim batches auto generated as soon as the rebill step is completed by checking the box – “Generate Claim”. The checkbox would need to be checked before the claims are selected and clicking the “Re-bill” button. […]
Why Am I seeing multiple options- CMS & HCFA for paper claim printing? What’s the difference?
The CMS 1500 option is what you would generally use for printing a claim form. Generating the paper claim using this option would open up the information to the PDF viewer software on your computer with only the text and without any borders or lines. The red lined form (CMS 1500) would have to to […]