EDI Rejection: Medicare only accepts claim frequency code of 1
Medicare does not accept claims marked as corrected or voided. If you have claim rejections for "Medicare only accepts claim frequency code of 1", you will need to re-release the claim and select New, not Corrected or Voided.
New should be selected even if it is a corrected claim. When a Medicare claim is denied or considered unprocessable, the claim is no longer available for correction. A claim with corrected information must be submitted as a new claim.
Viewing EDI Rejection Message
How to view an EDI Rejection: From the Today screen in PA Billing Double-click on the bucket "EDI Rejections" -- a list will appear on the right of the screen Double-click on a patient in the list, this will load the claim into the "Claims General, ...
Update EDI Rejection Status
If a claim does not belong in EDI rejections you can manually update the status following these steps: From the Today screen, double click the EDI rejection bucket From the list on the right, double click the patient and DOS you want to update From ...
Claim Scrubbing Errors
When you release a claim, the ProviderSuite Claim Manager processes that claim to get it ready for transmission to the payer. During Claim Manager processing and before sending to the clearinghouse, the claim is "scrubbed" by the ProviderSuite system ...
How to use the Claim Final Tab Attachment Details Feature for EOB, COB or MSP
You can now fax or mail your Explanation of Benefits (Coordination of Benefits or Medicare Secondary Payor) and send details in your claim so the payer will match up your claim and documentation as received. Just add information to the document and ...
EDI Rejection: Element LIN02
We have been notified that our clearinghouse partner has resolved this rejections "A data element with 'Mandatory' status is missing. Element LIN02 (Product/Service ID Qualifier) is missing" and is now allowing submission of Group taxonomy codes. ...