Method 1: This sets the POA field of a single claim. User can enter a text POA in the Remarks field of UB04 Charge Entry that will populate the POA. Method 2: This updates the POA field of all claim sent to a specific payer or for all payers. EDI has a rule that will […]
Enter the Delay reason code in UB04 charge entry screen column 80 “Remarks” as follows and the system will map accordingly in the EDI. DELAYCODE-<code> Valid codes are 1, 2, 3, 4, 5, 6, 7,8, 9, 10, 11, 15 Description for each delay code is available in the URL “http://www.reliablehealth.com/P3162.htm”
1. Go to Service Location Set up page( Under Advanced Setup). 2. Set the “Secondary ID” field in the following format X4-<clianumber> eg. X4-1234567.
To send Patient SSN in the Claim: 1) Go to Charge Master (Edit Charges screen) and navigate to the Encounter section. 2) Move to Details tab and then click on the Others tab inside it. 3) In the Claim Note/Special Instruction field, enter the SSN in the below given format. “SSN-<<ssn number>>” eg: SSN-123456789 4) […]
From the main menu on the left, navigate to Setup and then click on ‘Insurance/Plan’. When the Insurance Search screen opens, search for the payer for which the secondary Id has to be added using any of the search filters. From the list of insurances click on the specific payer for edit. Insurance master screen […]
Transport Reason Code can be passed along with miles in the MILES field. Miles field is in the Charge master; see Image 1. Image 1 For eg: if Miles is 33 and Transport Reason Code is D, then in the miles field we have to enter 33D. System will parse this and show the Transport […]
Click the “EPSDT” check box in Charge Entry/Charge Master screens. On the Claim Note, specify the Condition Indicators. The format should be: EPSDT:<condition indicator code> e.g. EPSDT:AV Table 1 displays the valid Condition Indicators Condition Indicator Code Description AV Available NU Not Used S2 Under Treatment ST New Services Requested