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 |
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Creates an electronic billing Setup workfile of the claims to be submitted electronically to the selected insurance carrier. |
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Lists all billing claims that are in the current electronic billing Setup file for the insurance carrier. |
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Transfers the claim information in the insurance carrier's electronic billing Setup file to an ANSI 837 format file that is required for transmission. |
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Zips and moves the electronic billing file to the location where it can be sent electronically to the insurance carrier. |
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View the session reports and receive logs that provide processing information for each step of the electronic billing file session. |
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Moves the transmission session Receive logs from the download location to INSight. The Receive logs provide an audit trail of what the insurance carrier acknowledges receiving from you. |