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.
Category: FAQs – Charges & Claims
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.
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.
If I changed 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.
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 […]
How can I bill a line to patient, when the entire charge has to be billed to the insurance?
We should create two separate cases: one for Insurance and one for Self Pay. After that, we can proceed with billing the lines appropriately.
Can we Default DOS on Charge Entry Screen to another date?
We cannot default the DOS. However, we can manually change the DOS after entering the procedure codes.
Once you move a patient to Precollections, how do you move them back to regular status?
Go to Charges from the main menu and choose Edit Charges option. Search and lookup the Patient DOS. Change the Line Sub Status and click on Save Line.
How do I view details of an Encounter?
Details of an encounter can be viewed at the Edit Charges screen. All encounters of the patient are listed on the left pane categorized by case. Click on any encounter to view its details.
How do I bill the claim for the Supervis. Provider when the Provider’s Asst. has rendered the service.
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 the […]