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A message indicating that the patient's insurance has changed and that any pending encounters need to be reprocessed is displayed on the Reminders tab in your Inbox.
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Void the Original Claim
When you reprocess an encounter, you must use the Claims Manager to void the original claim filed against the patient's previous insurance payer.
- Click the Billing tab.
- Click Claims Manager in the left navigation bar.
- Search for the claim, and then click the claim number in the results to open the claim.
- In the HCFA form, set the Submission Code property to Voided/Cancelled Claim.
- Click the Submit button at the bottom of the page to submit the voided claim to the patient's previous insurance payer.
Reprocess the Encounter
Reopening To reprocess an encounter, reopen the original encounter and applying apply any billing rules for the new insurance payer before you resubmit the claim.
- Click the Billing tab.
- Click Reprocess Encounters in the left navigation bar.
Enter your search criteria, and then click Search.
Select Needs Reprocessing from the Encounter Reprocess Status menu to find encounters that need to be reprocessed.- Select the checkbox for each encounter that needs to be reprocessed.
- Click Reprocess Encounters.
- Click Go To Billing Manager and submit a new encounter claim to the patient's new insurance payer.
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