Billing

Users are seeing denials due to an invalid MSP code based on the feedback provided by Medicare. We are looking for a way to have a specific code inserted in 2300 SBR05 instead of the code 47 we are sending by default when Medicare is the secondary...

Introduce logic to cross-reference incoming 835 files for previously processed combinations of ISA13 and ST02. If a match is found, flag the file as a potential duplicate and prevent import, or generate a warning for user review. This enhancement ...

Is it possible to also add the diagnosis from the service to the CSV file? Sometimes I see claim denials when the diagnosis code is a Z diagnosis code. If the diagnosis could be added to the CSV this would allow me to audit for any Z diagnosis cod...