Table of Contents

Table of Contents

3) Call the MediCal Test Transmission phone number:

Select the MediCal Test icon. Select Dial.

4) The MediCal BBS will show you the sign-in screen:

5) At the prompt, type “CMCSUB” and then your submitter ID and press Enter.

So if your submitter ID was RJ45 you’d type in CMCSUBRJ45 and then press

Enter.

6) The screen then prompts you for a password. Type in the password you received from MediCal and press Enter.

7) Once you’ve logged in successfully, the MediCal BBS will show you any current messages and ask you to press Enter to continue.

8) The MediCal BBS will next bring up the Main Menu Screen. Type “F” to bring up the file menu.

9) Type “U” to upload files.

10) You are now given a choice of protocols to upload under. Type “Z” for

Zmodem.

Hit Enter

11) Use your modem software to begin transmission:

HyperTerminal: From the menu bar, select Transfer > Send File.

HyperTerminal will ask for the name of the file. Type

“A:\MCALTELE” and Enter.

The modem software will keep track of your progress in sending the file

(“50%”, “75%”, &c). When it’s done, you’ll return to the MediCal BBS screen.

12) At the end of the transmission, the computer will emit a series of beeps to let you know it’s done. MediCal then displays the number of files sent, shows any transmission errors, and gives the dollar amount for that transmission. Write down that information and keep it until you’ve received your reimbursement.

13) Hit Enter. The MediCal BBS returns to the File Transfer Protocol Selection

Menu. Type “Q” and Enter to leave the BBS.

14) Leave the modem software program and return to SchuyLab.

Subsequent Transmissions to the Medicaid BBS:

As soon as your test transmission is validated, you’ll be able to send as many claims as you want to the MediCal BBS. There’s a different phone number to use -- that’s why we set up two different entries in your modem software -- but the steps are exactly the same as they were for the first transmission. (Except that the files, being larger, will take longer to transmit over the phone lines.) You may want to time your calls for early in the day, to avoid busy signals.

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Follow the instructions given above. To recap them:

1) Generate claims on SchuyLab and export them to a diskette.

2) Log into your modem software and connect to the MediCal BBS.

3) Type “cmc”, Enter, “cmcMode”, and Enter.

4) From the File Transfer Protocol Selection Menu, select ZMODEM.

5) Enter your submitter number and password.

6) Begin transmission of the file.

7) When done, leave the modem software and return to SchuyLab.

If you have any questions regarding the MediCal TelePoint system, including the status of any of your claims transmissions, call their CMC Technical Support at

(916) 636-1100. The most common problem is a ‘freezing’ of the line; that’s simply the BBS being overloaded, and there’s nothing to do but log out, wait a few minutes, and try again.

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Chapter 7 - Electronic

Remittance

Setting Up The Medicare BBS Connection

This document is to show you how to setup a typical HyperTerminal connection to the Medicare's BBS system. In this document, we make the assumption that you have Windows XP Pro on your computer and many of the examples we will be using involve Southern California Medicare. Other regions will normally have similar but not exactly the same setup.

Start by bringing up HyperTerminal. You do this by going to the Start Menu, then choose All Programs then Accessories then Communications and choose

HyperTerminal.

At this point, HyperTerminal opens and gives you the New Connection dialog. First type in your state’s Medicare (i.e. SoCal Medicare) and then choose an icon or just click OK to use the default icon.

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HyperTerminal will then ask you to enter the area code and number you will use to dial. At the time of writing, the possible numbers for Southern California are (213)

593-5943 or (530) 879-1774. You will also want to make sure that the "Connect

Using:" drop down menu is set to your modem (if your modem is in a computer that came with your SchuyLab system, it is probably a MultiTech modem. Otherwise, if you don’t know which device is your modem on the dropdown menu, contact your

IT person or whoever provided your computer to get that information). When this is done, click OK to continue.

You will now be at the Connection window. At this point, if your modem location settings are properly setup you can just click OK to dial your connection immediately. When HyperTerminal asks you if you want to save this connection, click yes.

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If you have problems connecting at this point, it may be that your settings are not setup properly. In that case, you should click on Dialing Properties and then on Edit to adjust your local settings to conform to your phone system. If you need to dial 9 before getting an outside line, or need a special code to dial long distance you would set those properties up there.

You are now ready to connect and download your 835 file.

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Retrieving 835 Files

Quick Reference Summary

1) Bring up HyperTerminal or other terminal program.

2) If menu screen does not come up hit enter key

3) Login using your submitter ID and password

4) When the menu screen comes up type 1 to go to the Electronic Mail Menu

5) Type 1 on the Electronic Mail Menu to go to Display/Send/Receive Mail

6) Type 6 to Download mail to PC, and choose the files you wish to download by typing in the corresponding number

7) When you are prompted about transmission protocol, choose one, Zmodem is generally a good choice if your terminal supports it.

8) Press Enter to start downloading files, they will be saved as MAIL.###

9) When you are finished downloading, quit out of the program.

10) SchuyLab displays the Billing Module screen.

To start out with you will use HyperTerminal to access the Medicare BBS. Go to the Start Menu by clicking on the Start button in the lower left of the screen, when the menu pops up choose All Programs, then Accessories, then Communications. If you see two choices that say HyperTerminal, one should be a folder icon, the other one will be the program icon. If you have already setup the Medicare BBS as a choice, you should click on the HyperTerminal Menu and then choose the Medicare

BBS icon. If you have not yet setup the connection, you should follow the steps in

Setting Up Your Medicare BBS Connection.

HyperTerminal should automatically dial and connect to the Medicare BBS at this point. In many cases your screen may be blank, with just a blinking curser line. If this happens hitting the Enter key will bring up the login. Type in your submitter ID and then when prompted type in your password. You will then get the following menu.

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You will then type 1 to go to the Electronic Mail Menu. That menu looks like this.

Type 1 again to go to the Display/Send/Receive Mail Menu

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At this menu you will type in 6 to Download Mail to your PC. You will then get a numbered list of possible mails to download.

The one you are looking for will be listed as an 835 file, and normally you will be looking for the most recent one. If you do not find it on the initial list you will need to go through the available emails by using the "N" and “P” commands until you find it. When you find it, type in the corresponding number for that email (in this case, it’s #4).

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You will now be given a choice of download protocols. Schuyler House recommends using number 3, Zmodem. When you type the #3 in, and then hit enter when prompted, you should begin downloading the file to your default directory.

You should write down the filename that appears at this time, so you can type it in when processing the remittance. (The file will be named MAIL.###, where ### is a unique number assigned by the Medicare BBS.)

When the download is finished you can exit the program and disconnect.

Setting up Remittance

Now our section on retrieving the 835 files works fine for what it is, a description of processes for one carrier, California Medicare. But even so we can see a couple of problems with it. The first problem is that it is sending the files to a folder with a rather long pathname that has nothing to do with billing, or 835 files or the like.

The second is that the filename that we are getting, Mail.594, doesn’t tell us much about this remittance, or even that it is a remittance file (and as it happens, this is the same format that California Medicare uses if you download 997 files or anything else from their server).

Now the issue of the pathname is an important one for organizational purposes, and if the pathname is too long it can make it difficult to actually process the 835 file!

Schuylerhouse therefore suggests that for best practices you create a special directory for storing your remittance files, and that you setup HyperTerminal or whatever your communications program is so that it will download files directly to that folder.

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Setting up download folders

The exact process for creating new folders on your hard drive will vary slightly depending on what operating system you are using, but will be fairly analogous for most systems that SchuyLab will run on. The majority of our current customers use

Windows XP Professional, so we will use that OS for our example.

In XP, you can accomplish this task in many ways, here is one of them.

1) Go to the machine that will be downloading your 835 files.

2) Click on the Start button in the lower right hand corner of your screen.

3) From the provided menu, choose My Computer.

4) On the window that pops up, in the area labeled hard drives, double click on the C: drive.

5) On the side bar on the left side of the window, under File and Folder Tasks choose Make a New Folder, this will pop up a new folder in the folder listings to the right with New Folder highlighted in blue.

6) Type in 835 and press the Enter Key.

7) Double-Click on this new folder to bring it up.

8) Depending on your needs you may want to have process remittances from

Medicare, Medicaid and/or various Insurance Clearinghouses. For each one you wish to add, follow step 5 above, and then step 6, replacing 835 with the name of the processor (ie. Medicare).

For the moment, let us assume that you have made one folder in step 8, and named it Medicare. We have now created the folder where our 835 files will get downloaded.

Next, we want to adjust HyperTerminal to download files to the correct directory when we grab them. Following our example from the previous section, we have a

HyperTerminal selection labeled SoCal Medicare.

1) Following the instructions in Retrieving 835 files (immediately following the numbered list) bring up your HyperTerminal Connection for Medicare.

You will be given a choice to Dial or Cancel.

2) You can choose either for this purpose, but for now we will choose Cancel, so we aren’t tying up lines. This will bring up an empty terminal window, with a toolbar and menu bar.

3) On the menu bar choose Transfer and then choose Receive File. This will bring up the Receive File window.

4) Where it says place received file in the following folder, there will be a folder pathname listed, highlight this pathname and then press the delete key on your keyboard.

5) Type in the path of the folder where you want the files to go, in our example this is “c:\835\Medicare”.

6) Click the close button. Your receive directory has now been changed. You can exit HyperTerminal at this point by clicking the red X in the upper right hand corner of this window.

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7) If you have HyperTerminal connections for any other place that you have electronic remittance for, follow this same process for them, typing in the appropriate path in step 5.

So now we move on to the next issue, uninformative file names.

Changing the names of your downloaded files

As we noted, California Medicare sends files that your grab from their mail menu with names in the form of MAIL.# where # represents a number from their mail system. While this may be useful for them, it isn’t much help to you if you want to go back later and find out what 835 file you are dealing with. Other insurance providers will even send their files to you under the same name every time, which will overwrite any previous file that you have sitting in that folder. In any case, it is rare that they will send it with exactly the name that you want, which is why we recommend changing your file names immediately after you receive a file.

How do you do this? There are many ways once again, but we will try to provide a simple one.

First we need to go to the folder where the file was downloaded. Often when we train remittance, Schuyler House will put a shortcut on your desktop to take you right to the folder you want, but even if this isn’t a case the process is simple.

1) Go to the machine that will be downloading your 835 files.

2) Click on the Start button in the lower right hand corner of your screen.

3) From the provided menu, choose My Computer.

4) On the window that pops up, in the area labeled hard drives, double click on the C: drive.

5) Double click on the folder named 835. The 835 folder will be displayed.

6) Find the name of the provider you just got the 835 file from and double click on their folder. You should now see a listing of all the files in that folder.

Now we need to find the file that you just downloaded. If you follow this process every time that you download a file, this will be easy because it will be the only one that does not follow your filename format. If you forget to do this or try and grab multiple files at the same time, this may be more difficult, and you may need to have either carefully noted the file name of every 835 file you downloaded or go to the menu bar and choose View and then Details so that you can see the modified date and time for every file in your directory so you can find the latest file.

Before we go any further let’s talk about file names. At their root each filename consists of two elements, a name and an extension. In some cases this extension can be blank, but usually it names a file type, and helps Windows decide how to deal with that file. In folder options you can choose several ways to sort files in a folder, but by default, they are sorted in alphanumeric order.

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What is alphanumeric order? Well it is similar to alphabetic order, but if you have a numeric digit in place of a letter, it will sort the number ahead of the letter, and it will also sort the digits in order from 0-9. What does it mean practically? Well it means that even though 2005 is a bigger number than 21, 2005 will actually be sorted ahead of 21. This also means that if you use a date in your filename and want it sorted in order by date, you want to display it in the order of year-monthday, rather than the month-day-year we are more used to seeing in the USA.

So what should you name your files? For simplicity, we suggest a format such as yyyy-mm-dd.txt, (for example 2007-08-06.txt for an 835 file dated to August 6 th ,

2007). The date so that it can be displayed in order by date, and .txt so that you get rid of any strange extensions (like the .594 in MAIL.594), and to make it easier if you need to check on something in the file later. What date should you use for the file? Well, since sometimes remittance files will contain payments or rejections from multiple claim files, using the claim date could be problematic, so you will probably want to use one of two values: The post date for the file on the server or the date that you download the file from the server. The advantage of the latter is that it is easy to check on using View->Details, the disadvantage is that if you download multiple files on the same date you will have to name them, 2007-08-06a and 2007-08-06b, and if they are from multiple weeks they may seem artificially close together. The advantage of the former is that you don’t have the disadvantages from using the download date, but you have to look on the processor’s site to find the information you need to name your files.

So back to our renaming process:

1) Once you have located the file that needs to be renamed, click once on it to highlight it.

2) On the toolbar on the left hand side of the screen you should now have an option under File and Folder Tasks to rename the file. Click on Rename this File.

3) Name the file in the format of your choosing. We suggest the yyyy-mmdd.txt format discussed above.

4) Press the Enter key and you are ready to start processing the file.

Setting up Remittance in SchuyLab

When we have the folders chosen for our remittance downloads there is one other thing that we may want to do to make our lives easier. We can tell SchuyLab where we expect to find the files.

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Select F7. Features.

Select Billing.

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Select Setup.

Select Electronic Billing. You will see all of your billing interfaces and your remittance interfaces.

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Choose the remittance interface for the insurance you want to modify.

At this point you can put in the telephone number you use to call up the BBS, or the password you use to log into it, but these are only for your own reference,

SchuyLab doesn’t do anything with these values except keep them for you. It would be a bad idea to click on Delete here, as that would remove the interface from your system and require Schuyler House to reinstall it for you to use it again.

Instead let us click on Setup… to bring up the Remittance configuration window.

When you have successfully submitted a claim for electronic billing, you have already given them all the information about who your lab is, so the only configuration option you need here is to tell SchuyLab where to find your remittance files normally. So just enter in the pathname as shown, and then repeat this process for any other Remittance accounts you may have. The pathname will automatically be put in by SchuyLab when you process your remittance, and you will only need to enter in the filename.

And this should be all the setup you need to start processing remittances.

Processing the Remittance Claim

You are now sending your claims into Medicare, Medicaid, and / or any of the insurance companies electronically and they have sent you your payment information back to you also electronically. Now what? Is there an easy way to check what claim was paid and how much was paid? Yes, there is.

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Select F7, Features

Select Billing

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You will see two electronic icons, select Electronic Remittance. Any remittance interfaces that are installed will be displayed here.

Select the remit icon for your payor (which in this instance is ANSIBCAL);

Queue You can chose to print this report (recommended) to any of your printers or just to the screen to review it.

Which file are you opening and where is it?

Select Path

Test Posting With this box checked, the report will be generated, but not posted.

Print exceptions only Print only those claims with notes

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Under Select Path, type in the path name for the file (in this case we will be using

“Colbert.2”) and then select OK. If you downloaded the EOB to a floppy disk your path will something like; A:\name of file. After selecting OK, SchuyLab does the rest for you, but you will need to check the claims, line item by line item, checking the payments and any remarks.

The Report

Let’s look at the report that is opened. There are three parts to the report; the header, the payments and a summary.

The header part is simple; the name and address of the insurance carrier, the process date of this claim, the check number that has been issued to your lab and the check amount. The body of the report will contain the following;

Accession Number

The specimen number that this claim is for. In this case we are using the YYMMDDn format. You may be using the same or a different format.

Patient’s Name

Lists the patient’s name. We have blacked out the names here and any other proprietary information.

Svc Date

The service date is the date the work was done, or at least entered into SchuyLab .

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Proc

Billed

Modifier

Primary Code

Adjustments

Deduct

Co-Pay

Paid

Remarks

Procedure or CPT code(s) for the test(s) run.

How much you billed for.

There are five basic modifiers to explain what is or is not being paid.

CO – Contractual obligation

PR – Patient Responsibility

PI – Payor Instigated Reduction

CR – correction

OA – Other Adjustment

The modifier is followed by a code that explains why the modifier was used. There are too many codes to list here.

You can get a list of the codes from Medicare / Medical.

How much you are NOT being paid

This is the patients deductible amount

This is the patient’s co-pay amount

How much you did get paid

NOT FOUND”. This means that SchuyLab couldn’t locate the claim or the procedure code and service date weren’t matched.

WRONG $” – this claim may have been re-posted.

d” – claim is already there. It may have already been posted or entered manually.

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The last thing to look at is the summary section;

As you can see, with this remittance, we are being paid for 260 claims, we had billed for $20,738.15. The billing had adjustments for a total of $13,420.010

(which we write off or bill the patient), there is $418.90 that is the patient deductibles, $487.24 that is the patient co-pay and the total that Medicare is paying for, which is $6401.91.

Now, let’s post.

Select F7, Features

Select Billing

Select Electronic Remittance

Select the remit icon for your lab

Put in your path and queue (or leave the queue path to the default printer), and select OK. Do not mark the box for test posting.

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There, you’ve posted. But, now let’s check it. If you look at the last page of your posting, you will see that it not longer says (Test only – no actual posting). Other than this, the report is what you viewed previously.

Select F10, Done to go to the billing screen.

Select, Edit Claims

Enter your first claim number

Select OK.

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Here is your claim.

Now, find this claim on the report and compare them.

As you can see, you charged the insurance company $16.50 for this test. Under the contract they have with you, they paid $14.50 and SchuyLab automatically wrote off the remaining $2.50.

Notes and Write Offs

The above example was a CO adjustment. Most of these are price adjustments that you knew were going to happen to begin with. They are normally not rebilled, so

SchuyLab writes them as an adjustment, and if it zeroes out the account, the account is closed.

However, some adjustments you will get back from your insurance company will be of a different sort. You may be missing certain patient demographics, or have a typo in your ICD-9 code, or other correctable issues. Or it may be a test that

Medicare won’t pay for, but the patient has secondary insurance to cover it. In these cases you may or may not want to rebill certain items. SchuyLab handles these by adding them to your claim as note codes rather than adjustments. Note

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codes will show the amount and the reason code the insurance company gives for the adjustment, but will not be added into the bottom line.

This document has note codes for each charge.

You will generally want to do one of two things with the remittance notes. The first would be to rebill the charge to another payor. This is done as normal, by setting the status to Ready, freezing those charges that you don’t want to rebill, and making sure the payor drop down is set to the one you wish to bill, and then billing.

The second thing you might want to do is to write off that charge. Not every charge that is denied is worth the effort of re-billing it or has a quick fix. You may find that write offs are a little different, now that you are doing electronic remittance.

This is because with remittance we match the adjustments with the individual charges and instead of writing off some or all of an entire claim, you will write off some or all of an individual charge. You will note on the side bar that the option to write off is grayed out from the edit claims screen when we have remittance results.

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What we do is double click on the charge we want to write off, and click on the write off button on the edit charge screen.

Now there are lots of choices that can be made at this point in time. Here we have changed the code from Medicare to P9604, to better reflect that it is a writeoff for that charge specifically, we have made sure that the amount matches the amount in our note field, and a Note Code has been put in. Potentially, we might want to put the PR-31 reason code in either the Reference or the Description field as well. You will want to go with whatever information best fits the needs of your lab.

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Once we choose OK and the Write Off is entered, we can see that our balance has been updated, and an asterisk has been put next to our charge so that if we rebill at this point, our written off amount will not be sent again.

We have a choice at this point to either delete out the Note code or not. We might want to keep the note code since it contains the remittance processing information and doesn’t affect the bottom line, or we can delete it out if will just be redundant and confusing. This may depend on what information you choose to include in your write off, and the policies of your billing department.

We hope that the clarity of being able to see which charges are written off and which ones have not been will make up for the inconvenience of putting in three write offs instead of one to write off the entire claim. While you do have the option of doing a write off for the full amount of the claim in one entry, we suggest that you do not do so as this will make things more difficult if you need to check what you did on this claim later.

Troubleshooting Remittance Issues

Most issues with electronic billing you will encounter will happen with the actual submission of your electronic claims, as that is where the complicated processes occur, but there are still a few situations where you may get unexpected results in remittance processing.

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Issue: When trying to process the remittance, SchuyLab tells you that it is unable to find the file.

Solution: This could be for several reasons. First the file may not be going into the directory where you think it is going. Check that the path that you are putting in to process the remittance is in the correct folder and with the correct filename. It is possible if you did not specify an extension when you renamed the file that

Windows has kept a previous extension on the file, and you will need to type that extension in. (For example, the file that you get from the insurance is named

835.dat, you go to name it 20070815, but don’t give any extension. Windows keeps the existing extension then, and the file would actually be named 20070815.dat.)

The best way to avoid this is to always rename your files with a specific extension like the .txt extension we use above.

Another possibility is that the file you have downloaded is not actually an 835 file.

If you have downloaded a 997 file or some other remittance format instead, then

SchuyLab will be unable to process it. Check with the insurance company that you are setup to do 835 remittances, and that you are looking in the right place to retrieve them.

Issue: SchuyLab processes the 835 file, but every line in the report has Not Found on it. But you can find the claims in Edit Claims.

Solution: Usually this happens when you go from submitting your claims in paper format to doing electronic submission and remittance in one fell swoop. SchuyLab will only process remittances for claims that have been submitted electronically. If you receive a remittance with claims from a paper submission, SchuyLab won’t process it. Wait until you start getting results from your electronic submissions before using Electronic Remittance.

Issue: When I process the 835 files, all my claim amounts are going negative.

Solution: Once again, this is most likely a transition issue. Often your billing department will be used to processing as soon as a check comes in, and if you have payments and write-offs manually entered in, and they combine with the same payments and adjustments from Remittance processing, this will register as multiple payments. Since it is this very manual entering in of payment information that

Remittance is designed to free you from, what you want to do is not enter them in manually in the first place! If you do have double entries though, the only thing you can do is go in and delete the extraneous lines in your claims. Another thing to note here is that if you have full claim payments or write-offs on your claim, they won’t always play well with the charge by charge adjustments that you get from remittance, and you may need to remove the full claim items before you can writeoff specific charges.

Issue: The claim gives me nothing but zeroes, and there is no data in the remittance report.

Solution: There is most likely something wrong with the 835 file that you are trying

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to process. Perhaps you got cut off in the downloading process and only have part of a file. In certain cases the insurance company may be sending an improperly formatted file (As of the present time, 835 files from California Medicaid

(MediCal) have extraneous line breaks in them, that prevent them from being properly processed without some additional steps). You should contact tech support and be prepared to get them a copy of the 835 file to analyze.

Issue: Hey, I processed this 835 file and there are no payments, just adjustments!

Solution: Was there a check for those claims? There is probably nothing wrong here. Some companies will put out remittances of the non-paid claims before doing the full or partially paid claims. Your payments will likely be in the next 835 file.

If you get several 835 files in a row without any payments showing up, you should contact the insurance company that is processing the claims, as sometimes they may not be rejecting the 837 files you send them, but there is an issue that doesn’t come out until the individual transactions are processed.

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12 Month Revenue.......................7

Accounts...................................101

adjustments...............................104

Batch Payments......................7, 85

Bill Accessions.............................6

Bill Types...................................17

displayed in Edit Claims.........67

setup...............................96, 108

Billing Analysis..........................85

Billing Setup...............................10

Bill Types...............................17

billing address........................13

electronic billing.....................56

Medicare ID............................12

panels......................................28

required information...............19

schedules..........................13, 23 tests.........................................21

charges............................................

adding to account..................105

adding to claims.....................76

Claim Aging...........................7, 84 claims.....................................4, 62 billed.......................................76

editing...............................63, 75 patient demographics..............72

payments.................................77

rebilling..................................80

write-offs..........................78, 79

Client Accounts..........................91

clients.........................................50

creating invoices.....................98

invoicing.............................6, 96 sales representative.................89

CPT rule.........................................

Index

panels......................................35

CPT rules................................5, 20

Create Client Invoices................97

Edit Account...............................97

Edit Claims...................................6

Edit Invoice................................97

electronic billing.............................

format.....................................57

Medicare.........................50, 118

Electronic Billing.....................116

Electronic Claims...........................

Setup.....................................116

Using....................................117

HCF1500......................................6

setup.................................49, 50

ICD-9 Codes...............................60

apportioning to procedures.....75

insurance.....................................46

adding policy..........................73

invoices...........................................

altering..................................105

generating...............................97

patient...................................108

payments...............................103

printing...................................99

reassigning patient claims....107

rebundling or repricing.........106

Invoices..........................................

viewing.................................100

Laboratory Options.....................11

name.......................................12

MediCal billing........................124

MediCal billing..............................

client’s provider ID................53

doctor’s provider ID...............55

Medicare billing.............................

doctor's UPIN.........................55

electronic..................................6

entering Medicare ID..............50

patient’s Medicare ID.............72

setup.......................................17

Monthly Sales...............................7

multi-channel panels..................36

Open Claims.................................7

panels......................................5, 28 defining components..............35

Panels.............................................

CPT rule.................................35

paper billing..............................113

testing...................................113

vs electronic billing................68

Patient Claims......................6, 108 billing...................................109

rebilling................................110

testing...................................109

payments.........................................

adding to account..................102

adding to claim.......................77

payor.........................................113

payor...............................................

displayed in Edit Claims.........68

payors.........................................18

Pricing Rules..........................5, 19 schedules................................20

schedules...............................15

Print Invoices..............................97

printing...........................................

batch payments report.............85

claim aging report...................84

HCFA-1500 forms................113

insurance companies...............47

monthly sales report...............87

open claims report..................83

patient invoices.....................108

sales sorted by rep..................89

schedules................................42

yearly revenue.........................88

procedure codes....................20, 31 adding codes to tests...............21

multi-channel panels..............36

new charges on claims............76

procedures..............................3, 39 procedures......................................

differential pricing......23, 38, 41 new procedures.......................40

reports.........................................82

Sales by Rep.................................7

Sales Rep Transactions...............91

schedules....................................13

adding procedures...................25

attaching to Bill Type.............18

attaching to client...................52

insurance.................................48

tests.............................................20

view results.............................71

Transaction Audit.......................90

transactions.................................75

waiting period...............................6

write-offs........................................

adding to account..................104

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