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PA File Transfer Guides
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How to fix Archive Data Task Fail
How to fix Archive Data Task Fail
System Issues Eligibility- Invalid XML Schema Error
Check the XSD value in web.config Example of a previous fix- old value: <add key="XSDValidaterUrl" value="https://pa3.practiceadmin.com/PAEligibility/EligibilityXMLFormat.xsd"/> new value: <add key="XSDValidaterUrl" ...
How to Create Claims Manager test file
There are two sps that must be updated on Sandbox so that the claims can be generated same day. "GetProvidersWithEDIClaims " and "GetEDIClaimsNew" stored proc's there is a parameter "@Auto" which is set to 1 always. So to create test files we need to ...
Insurance Validations- Insurance Types
You may have a customer that needs to change the insurance type that is listed on the insurance plan. Through insurance validations you can only change the insurance type of the parent, not the child insurance plan. So the customer will think that ...
EDI Claim Error-Pmts Adj Pt Resp Does Not Balance to Zero
Reasons that Claims Don’t Balance Error Message Occurs The signs in the transactions (-) may be incorrect Must have patient responsibility lines Adjustment Codes may not be mapped in the database to a CO 45 or PR code, will need to check with ...
Cloning a ProviderSuite account
What we can currently copy from one ProviderSuite account to another- Patients Patient addresses; Contacts - Only contacts related to patients Contact addresses; Insurance plans - Only insurance plans related to patients Patient statement settings ...
How to Fix Claim Awaiting Transaction Processing Error
Symptom- There no prior or unposted transaction prior to this patient yet whenever you try to post a payment, a message pops up 'This claim was awaiting transaction processing when you pulled up the claim data, but has since finished processing. You ...
EDI Claim Final Status
status description 2 In EDI File 3 EDI Claim Errors 4 In Progress 5 EDI File Confirmed 6 Submitted by Mail 12 Billed to Patient 24 Pending Statement 100 Not Submitted 101 Awaiting Printing 102 Medicare Crossover 103 Awaiting EDI Submission 104 ...
How to resolve Claims Queue issues
Confirm Enable Claim processing flag is set to 1 Confirm claim processing jobs are enabled in the SQL Job Agent Confirm that the next run time for those jobs is correct If answers to 1-3 are yes and claims queue is still rising Run update key stats ...
How to resolve ProviderSuite Database Performance Issues
General database performance issues 1. Identify and kill transactions that could be causing the problem - Result = transaction restarted, some users could be affected - Risk = kill a critical transaction that corrupts data 2. Stop/Start the SQL Job ...
Ticket Fields - Operating System
To help research issues related to accessing our software, including launching our Billing, Scheduling, and Receivables installed applets, we have a custom field on Product Support tickets in Zoho Desk. The "Operating System" field is a list of the ...
Televox Emails- HouseCalls ASP File Problem
If you get an email that the Housecalls communication has an error for a certain date, please reach out to Interface support and have them rerun the file. You will have to also call Televox at 877-269-2904 and give the Televox numeric account number ...
How to Fix Fido Error
--This script is used to fix fido errors that appear in an Error Email. Just insert the string of files that need to be updated --Find the string at C:\Intervolve\Fido\Logs\PA_UpdateDownloadedClaimStatus_date.xml exec ...
Issue with Error Message in PA
We have researched the issue and found that Billing errors were caused by missing transaction records which caused NULLs in the returned unapplied data. Entries were missing from transactions, transactions_archive, and transaction_detail tables. We ...
PASI Errors
To figure out that PASI queues have stuck messages for ATL Receivables run the following script on the PASI database located on 10.32.5.190 server: SELECT 'SENDING QUEUE' AS QUEUE_NAME, COUNT(MessageID) AS NUMBER_OF_MESSAGES FROM SendingQueue ...
ProviderSuite Statement Fee Calculation
Statement fees are calculated as follows: 1. $0.79 for each statement sent (includes the first page, the mailing envelope, the return envelope, the printing, assembly, and postage) 2. $0.10 for each additional page after the first page on the same ...
How to fix Archive Data task failure
How to fix Archive Data task failure When the Archive Data task fails, the problem can usually be fixed following the steps below: First, identify the practice where the problematic claim belongs to. This way, you’ll be able to locate the ...
Exporting Data from Vitera Medical Manager
NOTE: These details are for informational purposes only and our support team does not support Medical Manager. PracticeAdmin is not liable for any errors that may be caused by these instructions. Any use of this material is at your own risk. Medical ...
Fix transaction amounts with incorrect number of fractional parts
Use the following instructions to fix transactions with an incorrect number of fractional parts: Set the @readonly parameter to 1 and run the script. Script will return the transactions with incorrect number of fractional parts, claim balances and ...
Non Aged Explanation
A payment was placed into an open accounting period of April, while the service detail this payment is for was placed into May. The report is generated as of 04/30 so the payment or adjustment is included in it but the service line does not exist on ...
Billing Applet Claim Status Codes
claim_status_codes from Billing Applet as of 2012-09-05 status description 0 Pre-Released 1 Released 2 EDI - Processing 3 EDI Claim Errors 4 System Errors 5 Submitted by EDI 6 Submitted by mail 7 Paid 8 Pending 9 For Review 10 Old (Txfer/Resub/W-O) ...
837I Loops and Segments for Providers
Loop Provider DB column 2310A Attending super_prov 2310B Operating operating_prov 2310C Other Operating Other Operating 2310D Rendering ord_prov 2310F Referring ref_prov
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 ...