E-Claims

Most of the fields on the E-Claims Printing screen are self evident, those that are not will be annoted and explained

E-Claim Folder

Electronic claims are files created in the 837 electronic format to be sent to either an individual insurance company or to

an electronic claims clearing house which will then pass them along to individaul insurance companies. The E-Clam folder

you designate here will be where the newly created 837 file will be stored to be later sent appropriately to the insurance company

or clearing house.

Along with the 837 electronic claim file, a report of all claims in the 837 file will also be created, the claims may be grouped by choosing

any of the choices listed.

The default value for this drop down box is P-Production, the second choice if T-Test. This sets a value in the 837 file which alerts

the receiving entity (insurance company or clearing house) that the file is either to be used for test purposes or is being submitted

as an authorized production status.

If for any reason (claims not delivered to correctly) you can choose 'Yes - Rebill' which will

cause a drop down list of previous batches of claims to appear from which you will choose one batch most

probably by date to have re-billed. This will save you the time of bringing up individual claims and marking them

individually to be re-billed.

This feature provides a quick way of choosing a set of claims which have previously been billed to be re-billed based upon 1) Clearing House

2) Clinic 3) Provider 4) Payer and 5) From and Thru Date Range to be re-billed.