Free Medisoft Support & Other - Courtesy Support Resource

For prospective & existing Walker Tek Solutions' clients. (Remember me for upgrades ~ Gavin)
It is currently Sun Jan 21, 2018 9:54 am

All times are UTC-05:00




Post new topic  Reply to topic  [ 4 posts ] 
Author Message
PostPosted: Wed Mar 15, 2017 12:31 pm 
Offline

Joined: Mon Apr 04, 2016 2:12 pm
Posts: 4
How do I fix a claim that has Medicare as secondary and the claim has an error saying invalid amt/cob out of balance
invalid sl paid amount


Top
   
PostPosted: Wed Mar 15, 2017 2:33 pm 
Offline
User avatar

Joined: Wed Apr 04, 2007 10:11 pm
Posts: 4011
Location: Springfield, MO
Make sure the claim you are sending Medicare is the same as what you sent to the primary payer. So if you had 6 procedures on the claim to the primary payer then the same 6 procedures must be sent to Medicare.

Here are a couple of ways I can think of that will cause this to get out of balance:
1. You delete procedures that were previously send to the primary payer.
2. You used the split claim feature to remove procedures that were originally sent to the primary payer onto a new claim.

So, you must enter and apply payments on all line items on the claim from the primary payer even if they are a zero pay or a denial. If you need to challenge a payment for a line item from the primary payer, then you have to challenge the entire claim and you can't split the claim and send part of it on to the next payer.

I hope that helps.

_________________
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777


Top
   
PostPosted: Wed Mar 15, 2017 2:58 pm 
Offline

Joined: Mon Apr 04, 2016 2:12 pm
Posts: 4
The claim that is having this problem was still the original claim. We posted a zero payment on all line items. The provider write off is correct. Still don't know why the amount would be wrong


Top
   
PostPosted: Tue Apr 18, 2017 8:41 am 
Offline
User avatar

Joined: Wed Apr 04, 2007 10:11 pm
Posts: 4011
Location: Springfield, MO
Did you mark all the zero payments complete?


Top
   
Display posts from previous:  Sort by  
Post new topic  Reply to topic  [ 4 posts ] 

All times are UTC-05:00


Who is online

Users browsing this forum: No registered users and 1 guest


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum

Jump to:  
Powered by phpBB® Forum Software © phpBB Limited