Forced Exception by Provider or Facility for Paper Claims Only Video
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Forced Exception by Provider or Facility for Paper Claims Only Video
Forced Exception by Provider or Facility
How to Add a Forced Exception
Note: You must be an "Account Manager" user in ProviderSuite to perform this task. If you do not have access to the Setup tab in the ProviderSuite, please forward these instructions to another user with Account Manager permissions. To add a Forced ...
Group NPI and 33B Forced Exceptions
Here is the logic around these fields: Group Taxonomy code for Box 33B in below case is being picked from Settings > Account > Group Taxonomy code in paper claim 1. If Group Taxonomy code is blank in Forced exception, it goes to next level and ...
Why do some claims go to the Pending Payer Paper Claim bucket?
There are several reasons why a released claim may end up in the Pending Payer Paper Claim bucket. The insurance plan selected on Claim-General does not have a Payer ID. There is an insurance plan mismatch on the claim, e.g. the claim is ...
TriZetto Paper Claim Charges
To research Paper Claims Printing charges on your invoice: 1. Go to ProviderSuite > Billing tab > EDI Portal > Manage Claims > Search Claim History 2. Select Advanced Search from the Search By drop-down menu 3. Enter the desired date range in the ...