phantom file of claims being submitted

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krpinct
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Joined: Mon Aug 12, 2019 8:19 am

phantom file of claims being submitted

Post by krpinct » Mon Aug 12, 2019 8:28 am

Odd issue. When I create a file to send claims to clearing house, leaving billing code empty, there are a batch of claims that keep going out that have already been marked as done in the claims registry. When I open the file, they cannot be seen. So every time I do this, I get a bunch of EOBs that say duplicate claim. How can I stop this from happening? It ends up costing us money from the clearing house. Thanks

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Gavin Walker
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Re: phantom file of claims being submitted

Post by Gavin Walker » Mon Aug 12, 2019 8:30 am

Hmm, are you using Revenue Management to send your claims in ANSI 5010 format? I have seen this issue with print image claims and because of this and other reasons we don't recommend print image claims.
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krpinct
Posts: 6
Joined: Mon Aug 12, 2019 8:19 am

Re: phantom file of claims being submitted

Post by krpinct » Mon Aug 12, 2019 8:50 am

no

krpinct
Posts: 6
Joined: Mon Aug 12, 2019 8:19 am

Re: phantom file of claims being submitted

Post by krpinct » Mon Aug 12, 2019 8:51 am

this started after I downloaded a "fix" for the slow report generation issue

krpinct
Posts: 6
Joined: Mon Aug 12, 2019 8:19 am

Re: phantom file of claims being submitted

Post by krpinct » Mon Aug 12, 2019 8:52 am

I have had my computer tech reinstall medisoft hoping that would fix it but it hasn't

krpinct
Posts: 6
Joined: Mon Aug 12, 2019 8:19 am

Re: phantom file of claims being submitted

Post by krpinct » Mon Aug 12, 2019 8:59 am

I don't think we have the revenue mgmt software

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Gavin Walker
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Re: phantom file of claims being submitted

Post by Gavin Walker » Mon Aug 12, 2019 9:27 am

If your tech didn't install the hot fix again, then your slow reports issue will come back again. You should switch to ANSI 5010 claims using Revenue Management (included with Medisoft) and you will avoid a bunch of errors. What clearinghouse are you using?

With print image claims, what we have seen in the past is there are claims in Claims Management that are marked ready to send but there are no transactions on them. So you will keep sending a claim with no transactions to the clearinghouse but the Print Image claim process does not mark these claims sent.

krpinct
Posts: 6
Joined: Mon Aug 12, 2019 8:19 am

Re: phantom file of claims being submitted

Post by krpinct » Mon Aug 12, 2019 10:34 am

Office Ally.

How much is revenue management ?

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Gavin Walker
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Re: phantom file of claims being submitted

Post by Gavin Walker » Tue Aug 13, 2019 9:29 am

Revenue Management is included with your Medisoft.

You can purchase the setup of Revenue Management from our shopping cart here: https://www.walkerteksolutions.com/prod ... l-support/ . Currently for $250 to setup 1 practice. You have to be on Medisoft v19 or higher.

You "could" set it up yourself, but it will be difficult if you aren't familiar with ANSI 5010 claims. Private message me your contact info and I'll send you the Revenue Management manual.

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