To view file acceptance status, go to Charges from the main menu and select Submit Claims. Select the Claim Log 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 an electronic corrected claim to major commercial carriers (does not apply to Medicare)?
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 from the main menu and choose Edit Charges. Search and select the Patient and then select the required DOS. Now 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 (procedure) to patient, when the entire charge other than the procedure has to be billed to the insurance?
There should be 2 cases one for Insurance and one for Self Pay then we can go ahead and bill the lines accordingly
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?
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, select Charges and click on Edit charges to open the Edit charges page. When the Edit charge page opens up, click on […]
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 […]