manual bill entry for secondary EDI claims

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ehc2010
Posts: 38
Joined: Tue Aug 26, 2014 8:26 am

manual bill entry for secondary EDI claims

Post by ehc2010 » Tue Aug 26, 2014 9:55 am

Hi,

When we have a couple of payments and take backs are posted to a claim from a Primary payor, secondary claims are rejected stating "COB claim balancing failed. Total charge amount does not equal sum of paid amount and all adjustment amounts" "COB service line balancing failed. Charge amount does not equal sum of paid amount and all line adjustment amounts" Please let me know if we cab enter the adjustments and payments from primary manually on secondary electronic claim form and send claims EDI. I remember this was possible with earlier versions of Medisoft.

Regards,

Jason M

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Gavin Walker
Posts: 4625
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
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Re: manual bill entry for secondary EDI claims

Post by Gavin Walker » Tue Aug 26, 2014 10:31 am

Yes you can, but it works best if you send claims and post remittances with Revenue Management.
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386

ehc2010
Posts: 38
Joined: Tue Aug 26, 2014 8:26 am

Re: manual bill entry for secondary EDI claims

Post by ehc2010 » Tue Aug 26, 2014 11:05 am

Gavin,

Could you please let me know how it works manually..as I have some claims which cannot be sent EDI after several attempts.


Thanks,

Jason M

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Gavin Walker
Posts: 4625
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
Contact:

Re: manual bill entry for secondary EDI claims

Post by Gavin Walker » Tue Aug 26, 2014 1:06 pm

Just enter your payments and adjustments like you normally do. Balancing errors can occur if you do not apply payments to all charges on the claim (even zero pays). Also, a balancing error can occur if the list of charges sent on primary payer's claim do not match the list of charges sent on the secondary claim.

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