Medisoft V19 or V20 - How to attach progress report for EDI claims via Trizetto

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rprasadb2000
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Medisoft V19 or V20 - How to attach progress report for EDI claims via Trizetto

Post by rprasadb2000 » Tue Nov 07, 2017 11:54 am

Hi,

Some of the provider expect progress report along with the claim or for secondary attaching EOB of primary or any other document which needs to be sent for appeal.

How do we attach a document either in PDF or image format to a claim which will be sent via Trizetto using EDI interface?

Thanks in advance.

Rajendra Prasad

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Gavin Walker
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Re: Medisoft V19 or V20 - How to attach progress report for EDI claims via Trizetto

Post by Gavin Walker » Tue Nov 07, 2017 10:34 pm

What insurance carrier and do they have any limitations on how to send the attachment? Usually you can say the paperwork is available upon request and then make sure you have the document available.
Gavin Walker
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rprasadb2000
Posts: 20
Joined: Mon Dec 19, 2016 4:23 am

Re: Medisoft V19 or V20 - How to attach progress report for EDI claims via Trizetto

Post by rprasadb2000 » Thu Nov 09, 2017 11:02 am

e.g. Worker's comp attaching progress report
Champ VA
All secondary with the EOB

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Gavin Walker
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Re: Medisoft V19 or V20 - How to attach progress report for EDI claims via Trizetto

Post by Gavin Walker » Fri Nov 10, 2017 9:02 pm

On the Case -> Diagnosis tab -> EDI Report frame. Enter the Report Type Code (use 09 for Progress Report), Report Transmission Code (AA = On Request or BM = By Mail), and Attachment Control Number (your own unique number to reference the attachment with).

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