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Learn how to view the details of a patient's claims from the Patient Chart.
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Claims are sent to the transmittal queue pending submission of electronic claim files and/or hcfa printing. Current claims are defined as those that have not been processed through a daysheet.
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Current claims can be viewed on the Current Claims tab of the e-Billing Center. Current claims are defined as those that have yet to be archived by the processing of a daysheet.
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If your office is contracted for Full HIPAA Services and your office contracted with a supported clearinghouse, you will have the ability to view claim status within OP.
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Claims that will not be sent to the clearinghouse can be deleted prior to transmission.
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When creating and sending electronic claim files, all queued claims assigned to insurance payers setup for electronic claim submission will be sent to your clearinghouse.
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This process requires using both the Review Patient's Claims form (Claims tab) and the Patient's Credit Account.
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Learn how to make corrections to a claim and resubmit it to the insurance payer.
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Payers will, at times, reverse previous adjudications for numerous reasons (e.g. plan termed, duplicate charge, etc).
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Payers will, at times, reverse previous adjudications for numerous reasons (e.g. plan termed, duplicate charge, etc).
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Last Updated: 05/05/2021 in FAQs Billing FAQs
Navigate to the Charges section in the Patient Chart. Select the charge(s) in the Posted Charges section of the window. Click the Edit button and make the necessary change(s). Click Save or Save + Queue . ...
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Last Updated: 05/05/2021 in FAQs Billing FAQs
Navigate to the Insurance Payer list: Billing tab > Payers . Select the Insurance Payer . Click the Edit button to open the Insurance Payer Details window. Click the Claims/Routing tab. In the Rendering Loop field, use the drop-down to ...
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Last Updated: 10/21/2020 in How To Overview Charting
Learn how Diagnosis Codes are added to and sorted on Claims.
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Maximizing Diagnoses on Claims: Overview and FAQ Traditionally medical practices were taught to only report ICD diagnoses that were explicitly related to the reason for the visit. As payers have begun to risk adjust patients, they are looking to ha...