Patient Last Name on a Claim

Technical problems with Medisoft.
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mbpros
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Patient Last Name on a Claim

Post by mbpros » Tue Nov 21, 2017 10:29 am

I have a patient's last name on a claim as Van Der Heide and that is exactly how I enter it in Medisoft. But when it appears on the claim it is all bunched together (VANDERHEIDE) and the payer (work comp) denied for that reason. They said there must be a space between Van and Der and between Der and Heide. Likewise, the claim number has dashes in it (like 999-88-777) but it is bunched together and the payer said there must be dashes in the claim number.

What can be done to ensure the last name appears exactly as entered in Medisoft and the same for the claim # (Policy number field) so they are not bunched up?

Thanks,
Steve
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Gavin Walker
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Re: Patient Last Name on a Claim

Post by Gavin Walker » Wed Nov 22, 2017 9:30 am

Try changing the insurance type to Medicare instead of Workers' Comp.
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mbpros
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Re: Patient Last Name on a Claim

Post by mbpros » Wed Nov 22, 2017 11:58 am

Thanks...name is still bunched up...plus Work Comp carrier might deny if we indicate payer type is Medicare. Might have to handwrite that info for this payer.
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Gavin Walker
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Re: Patient Last Name on a Claim

Post by Gavin Walker » Sun Nov 26, 2017 3:06 pm

Are these paper claims? The f so you can customize your form and use the patient name lfm field.

mbpros
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Re: Patient Last Name on a Claim

Post by mbpros » Mon Nov 27, 2017 9:43 am

OK...I can try that but what about the Policy #. If I enter 123-45-6789 (which is how the payer wants it with dashes), the dashes are removed and it becomes 123456789 and that causes the payer to deny...which is amazing considering these ARE paper claims.

Steve
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Gavin Walker
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Re: Patient Last Name on a Claim

Post by Gavin Walker » Mon Nov 27, 2017 11:50 pm

There should also be an alternate policy # field you can use in the report designer for this purpose.

mbpros
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Re: Patient Last Name on a Claim

Post by mbpros » Tue Nov 28, 2017 9:32 am

Thanks...The LFM worked for the name. For the Policy #, what I did was enter the Policy # in the Extra 3 field and then customize the CMS form and it works.

Steve
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