Choose the Submit Claims menu under Charges from the left main menu. Select the Print/Re-Bill tab to rebill claims. Enter the parameters like Claim Batch Type, Claim Status, Legal Entity, Claims Receiver, Patient Name, Provider, Insurance/ Payer ID, Claim Date Range, Interchange#, DOS Range, POS, CPT Codes, Accounting Date Range, Batch#, Claim#, Amount Range, Insurance level, and Type […]
Category: FAQs – Charges & Claims
How do I print HCFA/CMS form?
From the main menu click on Charges and then click on Submit Claims. The Generate/ Batch Claims screen will be shown as below. Enter all the required information and click on Generate Batch(es) to generate claims. After successfully generating the claims, you will be navigated to the Batch Summary tab automatically. The new EDI claims […]
Why is my Eligibility not working?
A Third Party Payer ID or the Eligibility Payer ID is used for eligibility verification. This ID is unique for each insurance company; hence, it needs to be entered in the insurance set up for each insurance screen separately. Follow the below given steps to add the Eligibility Payer ID for an insurance company. Click […]
How do I work my rejections?
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 invalid. Provider action: Check […]
How to do charge entry for Superbills received?
Go to Charges from the main menu and choose Enter Charges. On the Charge Entry screen under Legal Entity drop-down select “ALL”. Change the Appointment Date to the desired date. Select the desired patient from the list. Under Insurance Case Information type in the Case Number. If you do not have the case information, you need to click […]
How to download the Payer List from Emdeon?
Log on to the Emdeon web site: http://www.emdeon.com/ Click on “Payer List“ Click on “Medical / Hospital / Dental Payers“ On the new window that appears “Claims Payer List“, click on the “Download List” button
How to check if the Enrollment is required for a particular form?
Log on to the Emdeon web site: http://www.emdeon.com/ Click on “Payer List” and choose “Medical / Hospital / Dental Payers“. On the new window that appears “Claims Payer List“. On the “Payer Type” drop down select the desired option from the list, on the “Line Of Business” drop down select “Medical”, on the “Services” drop down […]
How to download the PSF forms from Emdeon?
Log on to the Emdeon web site: http://www.emdeon.com/ Click on “Payers“ Click on “Enrollment Forms“ Click on “Professional Claim Payers“ On the “Resource Library” window you can download all the required forms. Example: MEDICAID & MEDICARE
How to download the ERA forms from Emdeon?
Log on to the Emdeon web site: http://www.emdeon.com/ Click on “Payers“ Click on “Enrollment Forms“ Click on “Professional ERA Payers“ On the “Resource Library” window you can download all the required forms. Example: AETNA, BCBS, CIGNA, HUMANA, MEDICAID, MEDICARE, UHC
How to change the amount if it is not applied? – Charge Master
Go to Charges from the main menu and choose Edit Charges. Search and select a patient and choose the correct DOS (Date Of Service) from the Encounters List for that Patient. Change the amount you would like to change for desired Encounter Lines, by typing in the desired amount. Click on Save.