Product Support
How to Manage a Duplicate ERA
Duplicate ERAs It appears these ERAs are duplicates of previously posted EOBs. You can delete these batches following these steps: From the Today Screen go to Payments/ Payment Application Click on Batch/ ERAs/ Posted Pending Review/ Refresh ERA List ...
Rejection: Billing Provider Last of Organization Name is required. 2010AA.NM103
Issue: Claim has rejection message Billing Provider Last or Organization Name is required. 2010AA.NM103 Billing Provider Contact Name is required. 2010AA.PER02. Solution: This rejection is happening because on the Setup-General screen Use Tax ID from ...
What does the denial MA04 mean for Secondary Medicare Claims?
MA04 means that the claim was submitted with an invalid Medicare Secondary Payer (MSP) code or an MSP code was not included. When this happens, check to ensure the information is correct in loop 2320 for an electronic claim or attach the summary ...
Medicare: New Regulation May Impact Eligibility Verification
Medicare: New Regulation May Impact Eligibility Verification A new CMS regulation effective April 1, 2019, will require Medicare Part A providers checking beneficiary eligibility to have a registered a valid National Provider Identifier (NPI) in the ...
Payer Rejection BILLING NPI SUBMITTER ID COMBO NOT ON FILE FOR BL OR HM
Should you see this rejection from the payer: BILLING NPI SUBMITTER ID COMBO NOT ON FILE FOR BL OR HM This is the payer's way of indicating that these claims need to be dropped to paper mail. The payer is requiring mailed medical attachments along ...
Search EDI Portal Insurance Payments (Remittances) by Check Number
Go To the Claims Tab Click on EDI Portal Click on the Manage Payments Tab Select View Insurance Payments (Remittances) Search by Advanced Search (in the dropdown menu) Enter the Check # in the Check Number Field Click the Search button at the bottom ...
Update User Security Level
Note: You must be an "Account Manager" user in ProviderSuite to perform this task. If you do not have access to the Settings tab in the ProviderSuite, please forward these instructions to another user with Account Manager permissions. Login to ...
Popular Articles
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 ...
Strategic enrollment manager (STEM) manual and FAQs
Strategic Enrollment Manager (STEM) is a portal within Madaket Health, an enrollment partner of TriZetto Provider Solutions. This portal allows you to: Enter your administrative, practice, provider and payer information for enrollments. View ...
UB-04 facility billing Bill Type - why does it end with 7, instead of 1?
The Bill type is officially a four-digit field, but historically users have known it as a three-digit field, hence the usage of the bill type '711'. If however you print a UB-04 for a claim with a 711 bill type (a new claim), you will see it prints ...
Posting an Unprocessed ERA
Here are the steps to Manually post an Unprocessed ERA. Watch our Training Video. From the Billing Manager > Payment Application > ERA's > Unprocessed> Refresh ERA List> Double Click on the Aetna ERA If the ERA does not need to be posted as it is a ...
Run an ERA Analysis report
Below are the steps to identify payers you are sending claims to, but not receiving remits from. In ProviderSuite, access the EDI portal under the Billing Tab Hover over the "Manage Payments" tab and select "Run ERA analysis". By default, the claim ...