Posting to wrong insurance carrier.

Technical problems with Medisoft.
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SalJim71
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Posting to wrong insurance carrier.

Post by SalJim71 » Tue Mar 06, 2018 1:39 pm

I switched to a new clearinghouses & for some reason now when I post my payments revenue management is applying the secondary payments as a the primary payer.

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Gavin Walker
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Re: Posting to wrong insurance carrier.

Post by Gavin Walker » Wed Mar 07, 2018 9:10 am

Revenue Management matches the payer by Primary Receiver and Secondary Receiver Claims Payer id in the Insurance Carrier record. Make sure both of these values match what is used by your new clearinghouse on both your primary and secondary insurance carrier.
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386

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SalJim71
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Re: Posting to wrong insurance carrier.

Post by SalJim71 » Sat Mar 10, 2018 5:59 pm

Navicure sent me a list of all their payers & it included a payer code (payer id) & a payer entity. Where in Medisoft would I put the payer entity code?

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Gavin Walker
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Re: Posting to wrong insurance carrier.

Post by Gavin Walker » Mon Mar 12, 2018 9:07 am

In Medisoft go to Lists -> Insurance -> Carriers -> double-click the insurance carrier -> EDI/Eligibility tab and enter into the Claims Payer ID field on both the Primary Receiver and Secondary Receiver frames.

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SalJim71
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Re: Posting to wrong insurance carrier.

Post by SalJim71 » Mon Mar 12, 2018 9:28 am

Thank you Gavin...

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SalJim71
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Re: Posting to wrong insurance carrier.

Post by SalJim71 » Mon Mar 12, 2018 9:37 am

Do I put anything in the EDI Extra 1/Medigap field?

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Gavin Walker
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Re: Posting to wrong insurance carrier.

Post by Gavin Walker » Mon Mar 12, 2018 9:38 am

Enter the MediGap # there. You can get the list of MediGap ids from your Medicare intermediary.

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