Submitting Claims

To submit claims electronically:

  1. In the Claim window, click OK. The Submit Primary window is displayed, prompting you to submit the claim electronically.

  2. When you assign payer ID numbers to insurance companies, ECS Capable Primary in the Insurance Plan window is selected, and you are prompted to submit a claim electronically for that plan.

  1. Click OK. The claim is sent to the ECS batch file to be transmitted later.

  2. Continue adding claims to the batch.

OR
 

If you use the Real Time Claim Submission service and the claim is for an insurance plan that is ECS capable, a Submit Real-Time for immediate payor response option is selected. More:More:

If you use the Real Time service, select this option, and click OK. The eServices window is immediately opened, and the Real Time claim submission process begins.

When the process is complete, a Claim Status window is displayed, showing whether the claim has been paid and the amount that was paid.

The report that is returned from the insurance company during Real Time Claim processing is added to the patient's document tree in the Real Time Claim Responses folder.

 

Click OK. The eServices window is displayed, and the Real Time Claim Submission process begins.

 

Related Topics

Submitting and Tracking Claims