Notify the Insurance when Attaching or Sending Paperwork

Notify the Insurance when Attaching or Sending Paperwork

You may send this with the first claim or you may resubmit the claim with this option.  Indicate on the electronic claim that an attachment is being sent, such as an Operative Note via fax, email, or mail.


Encounter Dashboard Charge Panel

  1. From the Encounter Dashboard, select ANSI Fields in the Charge Panel.



2300 PWK - Paperwork Panel

  1. Report Type Code (PWK01): From the dropdown, choose the type of report, such as Operative Note.

  1. Report Transmission Code (PWK02): From the dropdown, choose how you are sending the report, such as fax, email, or mail.

  1. Identification Code (PWK06): Use the ICN when resubmitting a claim. The ICN is auto-populated on the Modify Charge screen when an ERA is posted. You will get the ICN from the paper remit if this was not an ERA. (17-digit number). If this is an original claim, you can use the patient ID with the Encounter number. (21729e73057).

  1. Save [F2].


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HCFA Fields

UB04 Fields