Charge Posting - aka Claims
MSP Type Values For Medicare Claims
Question: How can I add an MSP Type Value to a Claim? Answer: From the Billing Applet > Click on Patient> Search for your Patient > Select the Insurance Tab> Click on the Medicare Plan to update> Click on the MSP Type drop-down Menu and select the ...
Entering Multiple Modifiers on a Claim in Billing Manager
When more than one Modifier is necessary, enter the modifier manually, with no spaces or commas between multiple modifiers: ProviderSuite will place a comma automatically between multiple modifiers on the claim.
How to release claims in the For Review status bucket
Save for Review is used to place claims in the For Review bucket and is useful in situations when the user may be undergoing training. This allows those claims to be identified as requiring review prior to release. To send those claims to the ...
How do I remove or uninstall a Window's Update
How do I remove an installed update? We don’t recommend that you remove any installed updates. However, if you must remove an update, you can do so from the update history. To remove an update in Windows 10: Select the Start button, then ...
ICD-10 Dual Coding
Q: Can you add both an ICD-9 and ICD-10 on the same claim? A: Per CMS no, please see attached.
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 ...
Billing Applet Claim Bucket Definitions
Introduction A description of each of our claim buckets and the claim types they contain More Information Bucket Status Description For Follow-up Statements Not Going Claims for accounts with statements on hold. Also includes ...
Who saved the claim and payment on claim final?
Introduction An explanation why the username showing on the claim form might differ from the user name on the claim transaction detail form More Information If a claim is saved as 'pre-released' or 'for review' and is later saved and released by ...
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 ...