Communications Professional Claims Medicare Menu

The Communications Professional Claims Medicare menu contains commands used to process and electronically submit billing claims to the insurance carrier.

Notes:

Although Medicare is used as an example for this menu, all insurance carriers that you electronically submit billing claims for have the same menu selections as shown below.
You may find it handy to launch the Communications Menu Panel to quickly and easily select electronic billing routines.
For information on the timing and sequence of electronic billing steps, see Electronic Billing Procedure.

Directions:

To open the Communications Professional Claims Medicare menu, click the following sequence:
Billing Functions from the Menu Bar; Communications; Professional Claims; and Medicare.
The table below describes the available options.

Professional Claims Medicare Menu Items
Setup	Creates an electronic billing Setup workfile of the claims to be submitted electronically to the specific insurance carrier.
Print Journal	Lists all billing claims that are in the current electronic billing Setup file for the specified insurance carrier.
Transfer	Transfers the claim information in the insurance carrier's electronic billing Setup file to an ANSI 837 format file located in the directory that you specify.
Send	Moves the insurance carrier's electronic billing file to the location where it can be sent electronically to the insurance carrier.
Review Log	View the session logs and receive logs for the insurance carrier that pertain to the electronic billing file transmission. The Session log verifies that the file was transmitted to the insurance carrier. The Receive log contains confirmation files detailing what the insurance carrier acknowledges receiving during the electronic billing transmission session.
Receive Log	Retrieves the transmission session Receive logs from the insurance carrier. The Receive logs provide an audit trail of what the insurance carrier acknowledges receiving from you.