Category: Submit Claims

Claims with Attachments Many electronic payers are able to receive and use Supplemental Information through the  Paperwork(PWK) segment as defined in the Health Care Claim 837 Implementation Guide. This segment contains paperwork codes to indicate documents available to the payer if needed. About PWK The PWK segment provides the ‘linkage’ between electronic claims and additional […]

Table 1 explains each of the boxes in the HCFA Form Field # Field Name Field Description/Instructions 1 Coverage PAYER TYPE of the destination payer. The type of health insurance coverage applicable to this claim by checking the appropriate box. 1.a Insured’s ID Number List the Insured’s identification number entered in the subscriber# field of […]

The Claims Dashboard provides detailed information on every claim generated in the system. The dashboard has a pie chart representation to get a quick view of the number of claims in the different statuses. Image 1 is a sample screenshot of the dashboard. Note: The Info icon (arrow-marked in the above image) will display the […]

Print/Rebill screen can be used to view the current line status of a claim and any previous claim or line activity. In order to view the claim details, follow the below-given steps. 1. From the Print/Re-Bill screen pull up the claims using the search options available. In Image 1, claims are searched for by using […]

Claim history gives a view of all submitted claims. Claims are ordered in the descending order of the claim date. Follow the below-given steps to access the Claim History page. 1. Select Charges from the main menu and click on Submit Claims. 2. In the Submit claims page that opens up, click on the Claim […]

Claims can be filtered and viewed according to their insurance levels such as Primary, Secondary, and Tertiary. The Print/Rebill tab of the Submit Claims screen provides the facility to filter claims according to the insurance level. Follow the below-given steps to list claims by insurance level. 1. Select Charges from the main menu and click […]

Multiple claims can be rebilled and batched on a single screen. This facility is provided by the Print/Rebill screen. To rebill and multiple claims, follow the below-given steps. 1. Select Charges from the main menu and click on Submit Claims. 2. Select the Print/Re-Bill tab (see Image 1). Image 1 Enter the parameters like Claim […]

Submitted electronic claims can be printed on paper. Follow the below-given steps in printing electronic claims. 1. Choose the Submit Claims menu under Charges from the left main menu. 2. Select the Print/Re-Bill tab (see Image 1). Image 1 3. To pull up the electronic claims, select the Batch Type as EDI and Claims Status […]

New paper claims are the paper claims for which claim numbers are generated and are ready to be submitted but not yet sent to the payer. Once printed, they are assumed to be sent. Hence paper claims in the system are either in ‘New’ or in ‘Printed’ state. To view all the ‘new paper’ 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 […]