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  1. Click the Practice tab. 
  2. In the left-hand navigation menu, expand the Administrative tab, and then select Practice.
  3. Expand the Billing tab, and then click the ERA Processing Options tab. 
  4. Select each setting you want to modify.

    SettingDescription
    Claim Matching OptionsSelect the option to use to match claim identifiers in the system. The system matches the original claim identifier by default.
    Service Line Matching OptionsYou cannot modify the current default settings.
    Denial Adjustment Reason Codes

    Specify the adjustment denial codes that indicate the claim was denied. An ERA file containing the specified codes will be marked as denied.

    Note that you must also select the Denied Adjustment Reason option from the Denied Service Options menu to enable the denial process.

    Denied Service OptionsSelect one or more options that indicate a service is denied.
    Move To Next Responsibility OptionsIf the patient has multiple insurance providers, specify the conditions that determine when to move the claim to the patient's secondary insurance provider.
    Reversal Claim OptionsSelect one or more options that indicate a claim is reversed.
    Denied Claim OptionsSelect one or more options that indicate a claim is denied.


  5. Click Save.

Configure Payer-specific Electronic Remittance Advice Processing Settings

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  1. Click the Practice tab. 
  2. In the left-hand navigation menu, click the Administrative tab, and then selectPractice.
  3. Click the Insurances link under Practice Settings at the top of the page.

  4. Click the ERA Settings button.



  5. Click Add
  6. Select each setting you want to apply.

    SettingDescription
    Setting NameA unique name for the custom settings.
    Processing From and To datesOptional date range during which to apply the settings.
    Claim Matching OptionsSelect the option to use to match claim identifiers in the system. The system matches the original claim identifier by default.
    Service Line Matching OptionsYou cannot modify the current default settings.
    Denial Adjustment Reason Codes

    Specify the adjustment denial codes that indicate the claim was denied. An ERA file containing the specified codes will be marked as denied.

    Note that you must also select the Denied Adjustment Reason option from the Denied Service Options menu to enable the denial process.

    Denied Service OptionsSelect one or more options that indicate a service is denied.
    Move To Next Responsibility OptionsIf the patient has multiple insurance providers, specify the conditions that determine when to move the claim to the patient's secondary insurance provider.
    Reversal Claim OptionsSelect one or more options that indicate a claim is reversed.
    Denied Claim OptionsSelect one or more options that indicate a claim is denied.


  7. Click Save.

Manage Insurance Contracts

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