You will need to follow the steps listed below If you have received a denial on an EOB where corrections need to be made and the particular insurance payer has stated that you resubmit your claim with the "Original Reference Number" to indicate that the claim has been appropriately corrected.
We understand that these steps may seem inconvenient, but it is an essential step in ensuring accurate processing and documentation of claims. By including the "Original Reference Number," insurance payers can effectively track and match the corrected claim to the initial submission, thus expediting the review process.
If you are unsure if the insurance payer needs this information upon submission, we recommend you reach out to the insurance payer directly for clarification.
Should you require any assistance with following the steps we have listed below, please do not hesitate to reach out to our dedicated support team.
First Step: Indicating the claim is a corrected claim
Go to Admin
Go to Payers
Select Payer and Hit Edit Button
Go to Printing Options tab
Go down to box 22 and click on the box
*Uncheck the box " No Override"
*make sure 7 (Replacement of prior claim) is selected under Text dropdown
* Override Current Text from Where to put text dropdown
*Save and Save Printing options screen also
Second Step: Adding Reference number for Corrected claim
(If you do not need to add in a reference number, proceed to step 3)
Go to Patients Rolodex
Select the patient - Open
Select Case Tab
Select Edit
Place the Original reference number into box 22 and Save
Step 3: Rebilling the Claim
Go to Patients file, Ledger Tab
Charges Tab
Rebill button
Select payer level for Rebill, Next
Select Charges that need to be rebilled, Next
(You can select multiple dates by clicking on first charge and dragging it down to last charge and let go or hold down the CTRL button while selecting dates)
Your claim will appear, check View box and select View Claims button to see info added to claim
7 and Original Reference Number WILL appear on HCFA. Once confirmed X out of screen
Uncheck View Box and select Next to generate Claim
Step 4: Removing number 7 indicator so, HCFA generates normal again.
*Go to patients file, Case tab, Edit, Delete Reference number and Save.
*Go to Admin, Payers, Select Payer, Edit, Printing options tab, Go to box 22, Click on R box, Check box that states "No Override" Save and Save Printing Options also.
*Save HCFA
- Support Information -
If you have any questions or need assistance with this process please contact Support by:
Live chat: Click the 'Support Portal' button in your main toolbar (on left-hand side) within the software, click the green 'Support' box in bottom right of screen. Hours of operation are M-F 8am-6pm CST.
***This has the fastest response time***
Phone: 909-378-9514
Email: support@coactionsoft.com
Comments
0 comments
Article is closed for comments.