Claim Resubmission Code and Original Reference Number
The ability to re-submit claims is available within the Billing/Productivity Report. Use the Billing/Productivity report to locate any claims that need to be updated, make the needed changes, then use the workflow below to submit the updated claims.
Please Note: Claims must be re-prepped individually.
Click on the 'Prep Claim to Resubmit' button.
A popover will alert you that the eBill has already been submitted and ask if you want to re-prep as Primary or Secondary. Select one of these choices to proceed or click Cancel to return to the Billing/Productivity Report.
In the Claim Options window you will see the option for claim re-submission. This option not present until a claim has already been submitted at least once.
Select the type of resubmission that meets your needs. The Payer or Clearinghouse may have advised you to select one option or the other.
You have the option to manually enter a reference number or to use the last claim number. The claim number that would be used here would typically come from the Payer or Clearinghouse.
If you check the box to use Last Claim Number, additional options will populate. There will be two options to select from, and ICANotes claim number or a Posted claim number. Since there has not been anything posted for the sample claim, there is only one option shown below.
Once you have made the desired selections, click the 'Continue' button to proceed.
The claim status will show 'Pending' and indicate the selection you made for Primary or Secondary insurance.
For Electronic Claims:
Click on 'Submit Claims' if there is only one claim on your report or you would like to submit all the claims listed.
If there are multiple claims on the report and you do not wish to submit them all, click the 'Select' button for the claims you will be submitting, then click 'Submit SELECTED Claims'.
The corrected claim information will show on the ANSI as shown below.
For Printed Claims
Click on 'Print HCFA Forms ' if there is only one claim on your report or you would like to submit all the claims listed.
If there are multiple claims on the report and you do not wish to submit them all, click the 'Select' button for the claims you will be submitting, then click 'Print SELECTED HCFA Forms'.
The claim correction information will populate as shown below on the HCFA.
Related Articles
Claim Note Reference Code and Claim Note Text
A new tab (Additional Info) has been added to the Insurance Information section of Demographics with options for Claim Note Reference Code and Claim Note Text. These fields are to be used for additional claim information contained in the Service Loop ...How to Enter a CLIA Number on a Claim
1. To enter a CLIA (Clinical Laboratory Improvement Amendments) number for a clinician, click on the Settings + Directories drawer from the Chart Room filing cabinets on the right. 2. As a group administrator, find the clinician's name and click on ...Taxonomy Code
How to add Taxonomy Codes to your Medical Billing 1. For those insurance payers that wants require your Taxonomy code in the service facility loop, you would need to go to Settings & Directories > Group Level Settings & Directories > Insur Payers 2. ...HCFA/CMS 1500 Reference Guide
Index Sections CARRIER PATIENT AND INSURANCE INFORMATION (From Box 1 to 13) 1. Insurance: Patient Demographics > Insurance Info In this knowledge base article, we provide a reference guide to the Health Insurance Claim Form 1500. This guide is ...UB04 (837i) Setup and Claim Submission
Index Sections Setting & Directories Set Up Patient Set Up Creating a UB04 for 837i UB04 billing (also known as 837i) requires steps to set up in both the patient chart and in the Settings & Directories. This document will outline the setup and ...