Corrected Claims
Send Replacement/Corrected Claim/Delayed Reason/Void
Send Replacement/Corrected Claim/Delayed Reason Corrected/Replacement Claims Designation of Corrected Claim and Delayed Reason Code can be sent on an ANSI (Electronic Claim). If you have not received a denial on an ERA Remit or on a Paper EOB, do not ...
Corrected Claims (Table of Contents)
Contents Submit a Fully-Paid Claim to a New Primary Insurance Rebill or Resubmit Multiple Encounters to Insurance Resubmit a Claim Send Replacement/Corrected Claim/Delayed Reason/Void Send Corrected Claims to Payers that Only Support "Original" ...
Submit a Fully-Paid Claim to a New Primary Insurance
The Primary Insurance on File was Paid in Error The new Insurance was not obtained at the time of the visit, and the old Insurance was billed and paid. The correct Insurance is obtained from the Patient. While waiting on the takeback/refund from the ...
Rebill or Resubmit Multiple Encounters to Insurance
Change the Insurance Profile and Rebill On the Insurance Management screen, there is a Change Profile & Rebill option that allows multiple Encounters to be Rebilled to the Payer in one step. On the Insurance Management Screen, select the Encounters ...
Send Corrected Claims to Payers that Only Support "Original" Claims
Since some Payers do not accept Replacement Claims (Frequency Code 7), the ability to automatically send the correct Frequency code on Replacement claims to specific Payers has been added to the Insurance screen in the Insurance Library. There is now ...
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 From the ...
ICN (Internal Control Number)
The ICN auto-populates from the most recent ERA posted for this encounter. If posted from a paper Remit, select the Modify button on the Encounter Dashboard and manually add the ICN number from the paper EOB. Expand the Charge panel on the Encounter ...
CO18 Duplicate Claim
Check if a claim is a duplicate or should be resubmitted When you receive a CO18 or other duplicate claim rejection, take these steps to confirm there are real duplicates: From the Encounter Dashboard, select Claim History. Check if claims are ...
Resubmit a Partial Claim
Partial Resubmission Resubmit only some lines on a claim (partial resubmission). Go to the Encounter Dashboard. click Modify. In the Procedure panel, select the Charge Line number link. Choose a Submit Status from the dropdown list: If resubmitting ...
Resubmit a Claim
Resubmit a Claim From the Encounter Dashboard, select the Change Status button. Choose Ready For Submission/Resubmission on the Payer that you are resubmitting the Claim. Add a Note if applicable. Save [F2]. Resubmit Multiple Claims in One Step Go to ...