Electronic Billing Review Log Instructions

Use the Electronic Billing Review Log Instructions to view and print review logs and receive logs for the insurance carrier.  The Review Log contains information that verifies that the electronic billing file was transmitted to the carrier and provides the details of what happened during the electronic billing transmission session with the carrier.  In addition, during this routine you can view the Receive Logs from the insurance carrier, which are confirmation files showing what the carrier acknowledges receiving during the electronic billing transmission session.  It is important to review both the Review Log and the Receive Logs from the insurance carrier and maintain them as part of the audit trail for the electronic billing session with the carrier.

Notes:

• Anthem, Web MD and Anthem NH are the only carriers to send a Review Log.  Each insurance carrier has a slightly different format for their review logs, but in general each carrier provides a type of Session Log that contains a date and time stamp that the electronic billing file was received and the number of claims that were received or a tracking number as a reference.
  Important:  To confirm that you are viewing the Review Log, look for the text  Live.

• Medicare does not provide the review log until the next day.  The day after you Send to Medicare, you can run the Receive Log routine to pick up the Medicare review log and the receive reports at the same time.

• To distinguish between Review and Receive logs, the Review logs will list Live and the Receive Logs will list Log.

• You must maintain the Review Logs as proof of filing and for an audit trail that identifies the claims and the patients that are billed.

Directions:

To see directions for...

• Opening the Electronic Billing Review Log Instructions, click More.

   

  1.  Click Billing Functions from the Menu Bar.

  2.  Click Communications.

  3.  Click Professional Claims.

  4.  Click Medicare.
  Note:  Medicare is used as the carrier in the menu example.  Please select the appropriate insurance carrier name for your processing.

  5.  Click Review Log.

   

  Advanced Methods:
  
  Click the following sequence:
  From the Communications Floating Menu Panel, click the carrier name; and click Review Log.

   

  Electronic Billing Review Log Instructions Window Example:

  

   

• Choosing the Selections at the Prompt Window, click More.

   

  Review Log Prompts Tip:  To see more information about a field, click the hyperlink for the field name.
  Setup Sequence	Displays the most recent Setup Sequence in the Log Catalog Panel.  To select a particular log, first click to select the appropriate Setup Sequence and then select the session log for that Setup Sequence. Notes: To view a previous Setup Sequence, click Back Setup Sequence . To view a more recent Setup Sequence, click Forward Setup Sequence .
  Setup Sequence Catalog	To display a specific log in the View Log Panel, click the appropriate selection in the Review Log Catalog Panel. Notes: To expand a Review Log catalog level, which reveals the options within that level, click Plus . Example:  To open the Setup Sequence, click Plus next to Setup 368. To collapse a catalog level, which hides the options within that level, click Minus . Example:  To close the Setup 386 level, click Minus next to Setup 368. To hide the Catalog Panel and increase the display area of the View Log Panel, click Hide Catalog Panel . To re-display the Catalog Panel, click Show Catalog Panel .
  View Log Panel	Displays the details of the Review Log, Receive Log or other reports. Tips: To increase the display area of the View Log Panel by hiding the Catalog Panel, click Hide Catalog Panel . To re-display the Catalog Panel, click Show Catalog Panel . To print a hard-copy of the report, click Print.
  	To print a hard-copy of the session log or report to the Windows® default printer, click Print.
  	To escape from the routine: Click Cancel. Keyboard shortcut:  [ALT + c] Or, click Close .

   

• Report Sample(s), click More.

   

  To see an example of the report, click Electronic Billing Print Journal Sample.

  To see an example of the report, click Review Log Sample.

  To see an example of the report, click Receive Log Sample.