Important Content Update Message
We are currently updating the OP Help Center content for the release of OP 20. OP 20 (official version 20.0.x) is the certified, 2015 Edition, version of the Office Practicum software. This is displayed in your software (Help tab > About) and in the Help Center tab labeled Version 20.0. We appreciate your patience as we continue to update all of our content.

Validation Feature

Version 14.19
Path: Smart Toolbar > Insurance button > Validation button

Overview

This page will instruct you on how to validate insurance and troubleshoot validation errors. If your office is contracted for Full HIPAA Services, and have also contracted with your clearinghouse to check patient eligibility, you will have access to the Validate button.

Validating

  1. Click on the Validate buttonin the upper right corner of the form. 
  2. If validation is successful, the validated date will populate. 

  1. Click on the Medical Benefits tab to see additional policy details as provided by the payer. The information provided will vary by payer. 

Troubleshooting


If validating is unsuccessful make sure the clearinghouse supports validation for this payer by referencing their payer list.
  1. Click on the Insurance button  next to the insurance Code.  The Claims/Routing tab will open.
  2. Check to see that a Real-time ID is listed, if not enter here. This code is found on the clearinghouse payer list. 
  3. Check the Send Eligibility as and Primary ID for eligibility fields are complete.
  4. Click the Save button .

  1. Try validating again.
Note: If you are still having validation problems with this payer after you have attempted all combinations of the Send eligibility as field and the Primary ID for eligibility fields, contact your clearinghouse to determine how they want you to identify yourself when validating for this specific payer. If your clearinghouse directs you to enter a secondary ID for this payer, you can enter the Secondary ID by clicking on the dropdown arrow to select the Service Provider ID, National Provider ID, Federal Tax ID, or Provider SSN. Then, enter the corresponding ID in the field to the right of this dropdown box.


Note: On occasion, a clearinghouse will have an 'outage' for particular payers during which time validation will not be working. You may receive notification from your clearinghouse about the outage and subsequent restoration of the ability to validate specific payers.
Version 14.8
Path: Smart Toolbar > Insurance button > Validation button

Overview

This page will instruct you on how to validate insurance and troubleshoot validation errors. If your office is contracted for Full HIPAA Services, and have also contracted with your clearinghouse to check patient eligibility, you will have access to the Validate button.

Validating

  1. Click on the Validate buttonin the upper right corner of the form. 
  2. If validation is successful, the validated date will populate. 

  1. Click on the Medical Benefits tab to see additional policy details as provided by the payer. The information provided will vary by payer. 

Troubleshooting


If validating is unsuccessful make sure the clearinghouse supports validation for this payer by referencing their payer list.
  1. Click on the Insurance button  next to the insurance Code. 
  2. The Claims/Routing tab will open.
  3. Check to see that a Real-time ID is listed, if not enter here. This code is found on the clearinghouse payer list. 
  4. Check the Send Eligibility as and Primary ID for eligibility fields are complete.
  5. Click the Save button .
  6. Try validating again.
Note: If you are still having validation problems with this payer after you have attempted all combinations of the Send eligibility as field and the Primary ID for eligibility fields, contact your clearinghouse to determine how they want you to identify yourself when validating for this specific payer. If your clearinghouse directs you to enter a secondary ID for this payer, you can enter the Secondary ID by clicking on the dropdown arrow to select the Service Provider ID, National Provider ID, Federal Tax ID, or Provider SSN. Then, enter the corresponding ID in the field to the right of this dropdown box.


Note: On occasion, a clearinghouse will have an 'outage' for particular payers during which time validation will not be working. You may receive notification from your clearinghouse about the outage and subsequent restoration of the ability to validate specific payers.
Version 14.10
Path: Smart Toolbar > Insurance button > Validation button

Overview

This page will instruct you on how to validate insurance and troubleshoot validation errors. If your office is contracted for Full HIPAA Services, and have also contracted with your clearinghouse to check patient eligibility, you will have access to the Validate button.

Validating

  1. Click on the Validate buttonin the upper right corner of the form. 
  2. If validation is successful, the validated date will populate. 

  1. Click on the Medical Benefits tab to see additional policy details as provided by the payer. The information provided will vary by payer. 

Troubleshooting


If validating is unsuccessful make sure the clearinghouse supports validation for this payer by referencing their payer list.
  1. Click on the Insurance button  next to the insurance Code.  The Claims/Routing tab will open.
  2. Check to see that a Real-time ID is listed, if not enter here. This code is found on the clearinghouse payer list. 
  3. Check the Send Eligibility as and Primary ID for eligibility fields are complete.
  4. Click the Save button .

  1. Try validating again.
Note: If you are still having validation problems with this payer after you have attempted all combinations of the Send eligibility as field and the Primary ID for eligibility fields, contact your clearinghouse to determine how they want you to identify yourself when validating for this specific payer. If your clearinghouse directs you to enter a secondary ID for this payer, you can enter the Secondary ID by clicking on the dropdown arrow to select the Service Provider ID, National Provider ID, Federal Tax ID, or Provider SSN. Then, enter the corresponding ID in the field to the right of this dropdown box.


Note: On occasion, a clearinghouse will have an 'outage' for particular payers during which time validation will not be working. You may receive notification from your clearinghouse about the outage and subsequent restoration of the ability to validate specific payers.
Version 14.8
Path: Smart Toolbar > Insurance button > Validation button

Overview

This page will instruct you on how to validate insurance and troubleshoot validation errors. If your office is contracted for Full HIPAA Services, and have also contracted with your clearinghouse to check patient eligibility, you will have access to the Validate button.

Validating

  1. Click on the Validate buttonin the upper right corner of the form. 
  2. If validation is successful, the validated date will populate. 

  1. Click on the Medical Benefits tab to see additional policy details as provided by the payer. The information provided will vary by payer. 

Troubleshooting


If validating is unsuccessful make sure the clearinghouse supports validation for this payer by referencing their payer list.
  1. Click on the Insurance button  next to the insurance Code. 
  2. The Claims/Routing tab will open.
  3. Check to see that a Real-time ID is listed, if not enter here. This code is found on the clearinghouse payer list. 
  4. Check the Send Eligibility as and Primary ID for eligibility fields are complete.
  5. Click the Save button .
  6. Try validating again.
Note: If you are still having validation problems with this payer after you have attempted all combinations of the Send eligibility as field and the Primary ID for eligibility fields, contact your clearinghouse to determine how they want you to identify yourself when validating for this specific payer. If your clearinghouse directs you to enter a secondary ID for this payer, you can enter the Secondary ID by clicking on the dropdown arrow to select the Service Provider ID, National Provider ID, Federal Tax ID, or Provider SSN. Then, enter the corresponding ID in the field to the right of this dropdown box.


Note: On occasion, a clearinghouse will have an 'outage' for particular payers during which time validation will not be working. You may receive notification from your clearinghouse about the outage and subsequent restoration of the ability to validate specific payers.