Common Clearinghouse Rejections – TriZetto

Common Clearinghouse Rejections (TPS): What do they mean? Rejection Message Payer Rejection Type Information MB – Subscriber and Other Subscriber Claim Filing Indicator Codes cannot both be MB. 2320.SBR*09 Not Payer Specific TPS Rejection What this means: The primary and secondary insurance on this claim are both listed as Medicare plans.  This is not valid. Provider […]

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Charge Entry

Charge Entry through Practicesuite: Now, we will show you how to enter Charges in Practice Suite. • To go to charge entry Screen, Click on the “Charges” Module in the Navigation Menu. • Under charges, Click on Enter Charges & Charge Entry Screen will pop out. •  Appointment view can be hidden by clicking the […]

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Case and Encounter

Case and encounter are co-related and relates the patient insurance (Patient himself)to each bill items ( Encounter). Hence you can find the case and encounter listed in Edit charges. From the Main Menu’s select Charges and click on Edit charges to open the Edit charges page. When the Edit charge page opens up, click on […]

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Case Sheet Details

Case and encounter are co-related and relates the patient insurance (Patient himself)to each bill items ( Encounter). Hence you can find the case and encounter listed in Edit charges. From the Main Menu’s select Charges and click on Edit charges to open the Edit charges page. When the Edit charge page opens up, click on […]

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Encounter Lines

Encounter Lines displays the different Procedures associated with an Encounter, the related diagnoses, the Charges and Total Amount and Status and the Claim Grouping status. The following are the details provided in the Encounter Lines CPT Code The CPT codes used for this particular encounter will be listed here. Click on the CPT code to […]

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Charge Master

The Charge Master/ Edit Charges window displays the list of Encounters for the selected Patient and also details of the related Case. It also gives the details of the Encounter Lines (procedures and their details associated with each encounter). To view the Charge Master widow, click on the Charges and then click on Edit Charges, the […]

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Understanding the Billing Workflow

A.Insurance Charge Workflow yet been submitted. Additionally, any charge crossed over from EHR to the billing would appear in a “NEW” status on the Enter Charges screen. Save the charge with status Bill to PR to post the charge. After the first batch & submission of the claim, the line status is changed by the […]

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Add a Comment for the Charge

Add comments for an un-posted charge Any additional comments or notes on a claim can be entered from the charge master screen. To enter a Line Note, click on the note icon on the encounter line which opens up the field to enter the line note. Enter the note in the field provided and click […]

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