Claim correction is a resubmission type used if Claim correction is a resubmission type used in case when provider wants to resubmit complete claim.
Claim Claim resubmission can be created for a claim in in Rejected By Payer or or Partly Paid By Payer statuses statuses.
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Step 1. Select (Incomplete)
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value from Status drop-down list.
The The search results grid appears.
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Step 2. Set focus on any claim and click
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on Resubmit claim correction
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link label.
Claim Claim Details dialog appears in edit mode. Anchor
You can set / modify the following data here:
(1) member info: Member ID, Emirates ID, Contract package name;
(2) resubmission comment;
(3) attachment;
(4) visit info: Encounter Type, Encounter Start, Encounter End;
(5) diagnosis info: Type, Code; add / delete diagnosis;
(6) activity info: Type, Code, Tooth No's, Start Date, Quantity, Net, Clinician, Prior Auth.; add / delete activity.
Step 3a. Enter Enter any text in in Resubmis. comment. It is a mandatory field.
Step 3b. Click on Click on Add file for resubmission link link label. In the dialog appeared find the necessary file in in .pdf format format and click on on Open button button.
As As a result, new options appear:
- View attached file
link - link label – by clicking on it the file opens for viewing;
- Remove attached file
link - link label – by clicking on it the file removes from the claim
and - and Attach file for resubmission
link - link label becomes available again.
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Step 3c. Edit Edit visit info, e.g. change Encounter Start / Encounter End dates.
Step 3d. Edit Edit diagnoses:
- to add a diagnosis: click
on - on Add new
link - link label, select Type and set Code in the new line appeared;
- to remove a diagnosis: highlight any diagnosis and click
on - on Delete
link - link label.
Step 3e. Edit activities:
- to add an activity: click
on - on Add new
link - link label, set activity details in the new line appeared;
- to remove an activity: highlight any activity and click
on - on Delete
link - link label.
By clicking
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on Set activity start to encounter start for all activities
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link label Start Date column values set as Encounter Start.
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- Click on Save Resubmission button.
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Step 4. Click on Save Resubmission button.
Claim Details view closes. The claim status changes to to Ready for Resubmission.
As soon as resubmission is created created Edit claim option option becomes available (learn[ more|Claim Edit]learn more). You still have an ability to modify the data before generating e-claims batches.