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Non-Assigned Claims

Posted: Wed May 25, 2016 5:03 pm
by mbpros
I have a provider who is non-par with Medicare..and payments are supposed to go to the patients. For the provider I do NOT have the Medicare participating box check. In each case I do NOT have the Assignment box checked...And yet Medicare is sending payments to the provider indicating that the claims indicate assignment. Is there some other place in Medisoft to uncheck a box to ensure no assignment of benefits?

Thanks,
Steve

Re: Non-Assigned Claims

Posted: Wed May 25, 2016 5:10 pm
by Gavin Walker
Hmm, how are you sending these claims? With Revenue Management? Are these professional or institutional claims?

Re: Non-Assigned Claims

Posted: Wed May 25, 2016 5:12 pm
by mbpros
Professional claims in RM using the standard Guide for V19 (Outbound 837P 5010 Claims - Standard).

Re: Non-Assigned Claims

Posted: Fri May 27, 2016 3:29 pm
by Gavin Walker
Hmm, the Case Assignment indicator only affects new charges. Try adding the 3 accept assignment columns into the charges grid of Transaction Entry and make sure the proper columns are marked True. If they aren't, try clicking the Update All button.

Re: Non-Assigned Claims

Posted: Thu Jun 16, 2016 6:50 am
by mbpros
All 3 columns are marked False. You said they should be marked True. Is that correct if they are NOT accepting assignment? Shouldn't the columns all be False (as they are) if the provider is not accepting assignment??

Steve

Re: Non-Assigned Claims

Posted: Thu Jun 16, 2016 3:19 pm
by Gavin Walker
Steve, you are right. NOT Accepting Assignment should be False.