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PracticeAdmin Billing Manager Release Notes 7.5.2
PracticeAdmin Billing Manager 7.5.2 Release Notes PracticeAdmin Billing Manager 7.5.2 Release Date: 6/8/22; Version: 8.5.2.3 Table of Contents Contents 1. Introduction. ...
Today Screen Dashboard Claim Buckets
Billing Manager Claim Buckets Status Bucket Description Identify/Correct/Rerelease Claim Line Credit Balance Any claim with a credit balance on a line item. You can move credits to unapplied to move to another DOS or can be moved to an open ...
ERA Denial Posting
Change to denial posting in ERA's as of 10/8/08
Billing Applet Bucket and Status Names: 7.1 versus 7.2
With Billing Applet version 7.2, the Buckets and Claim Status Names used in the ‘Claim and Account Summary’ display and in the drop-down lists for Bucket and Status on the Today screen have been updated to be more user-friendly. For example, "EHR ...
Delete Referring Provider
You can delete a referring provider using the following steps: 1. Launch Billing Manager 2. Click on Practice Management 3. Click on Referring Provider 4. Click on the Open folder 5. Select the Referring Provider you wish to delete and click OK 6. ...
Add a Referring Provider in Billing Manager
To add a new Referring Provider; 1. Login to ProviderSuite 2. Select ‘Launch Billing’ from the Claims tab 3. Select ‘Settings ‘ from the top menu bar 4. Select ‘Referring provider’ 5. Enter all required fields: First Name, Last Name, ZIP Code, and ...
Submitting secondary claims
Submitting secondary claims To submit claims to the secondary payer, ensure the following are present on a secondary claim before releasing to the payer: Primary Insurance payment (if $0.00 no payment or adjustment is needed) Allowable amount from ...
ERA Processing
PracticeAdmin facilitates the downloading and initial processing of Electronic Remittance Advice (ERA) messages from insurance payers for ProviderSuite users. This article describes the daily workflow for these messages. The American Medical ...
How are Eligibility Checks counted?
We track each eligibility check in our database and use that count to generate our monthly invoices. However, we exclude any checks where the response from the clearinghouse was one of the following: Request Cancelled Clearinghouse has returned ...
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 ...
Can a claim have multiple authorizations?
Guidelines for Item 23 ( Prior Authorization Number ) : NOTE: Item 23 can contain only one condition. Any additional conditions should be reported on a separate Form CMS-1500. This is the condition with respect to CMS-1500 guidelines, hence Item 23 ...
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 ...