EDI Provider Hold

EDI Provider Hold

We have removed the EDI Provider Holds for this provider and you may resend the claims that are in your On Hold bucket. 

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    • How to add/remove EDI Service Holds from a Provider Profile

      Any Account Manager can add or remove an EDI Hold from a Provider Profile whenever desired. To remove holds from a Provider Profile: Go to Settings > Providers Select the Provider and click Edit Provider Scroll to the Provider Hold section and click ...
    • EDI Provider Claims Approval

      Your providers ---  have been approved to send claims for the following payers. Aetna Cigna Humana United Healthcare Please re-release claims from the EDI Provider hold bucket or begin entering at your convenience. 
    • EDI Portal Overview

      Search Claim History Lookup any patient, submission dates, or date of service to see if your claim has been accepted by the carrier or rejected and why. Many carriers will accept an acknowledgment of acceptance from claims status as proof of timely ...
    • How to look Up a Payer ID number in the EDI Portal

      Here are the steps to research payer ID numbers and payer information: Go To the Claims Tab >  EDI Portal Click on the Resources Tab Select Payer list Now click the Blue link "Professional Payer" (for UB-04 claims, click Institutional Payers) For ...
    • How to Bulk Release Claims on Hold

      If the Claims on Hold option was selected in new account setup for training purposes, the claims within that status can be released with Bulk Rebill. First, use the Advanced Claim Management Tool to sort claims you would like to bulk rebill and ...