Problems Posting ERA Files in RM

Technical problems with Medisoft.
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mbpros
Posts: 312
Joined: Fri Mar 11, 2011 6:59 pm

Problems Posting ERA Files in RM

Post by mbpros » Fri Sep 09, 2016 9:08 am

I have been using RM (and Claims Manager before that) so know the program well...But one issue I have is when a payer does not include a modifier on the 835 file. For example, I may bill 98940 with an AT modifier, but the payer only returns the 98940 on the 835. When that happens, RM cannot locate the claim and I have to manually go and find the patient and find the code so RM can match up.

Is there a way to set anything in the settings so RM will not look at the modifier field and be able to post if the CPT code alone matches up (with date of service and patient)?

Steve
Steven Zats
Medical Billing Professionals

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Gavin Walker
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Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
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Re: Problems Posting ERA Files in RM

Post by Gavin Walker » Fri Sep 09, 2016 10:46 am

No, and I have just sent in the request to e-MDs to loosen this requirement again. Some insurance companies will add modifiers which also causes problems.
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386

mbpros
Posts: 312
Joined: Fri Mar 11, 2011 6:59 pm

Re: Problems Posting ERA Files in RM

Post by mbpros » Fri Sep 09, 2016 10:54 am

Thanks...and you are correct...Either way it makes it impossible to post ERAs automatically without manual intervention. Keep me posted if e-MDs fixed this issue.
Steven Zats
Medical Billing Professionals

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