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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Resubmit claim correction
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.
Claim Claim Details dialog appears in edit editing mode. Anchor
You can set / modify the following data here:
(1) member info: Member ID, Emirates ID
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;
(2) insurance info: Contract package name;
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(3) visit info: Encounter
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type, Encounter
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start, Encounter
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end;
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(4) diagnoses info: Type, Code
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;
(5) resubmission comment;
(6) resubmission attachment;
(7) activities info: Type, Code, Tooth No's, Start Date, Quantity, Net, Clinician, Prior Auth.
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.
Step 3a. Enter Enter any text in in Resubmis. comment. It is a mandatory field.
Step 3b. Click on Click Add file for resubmission link label. In the dialog appeared find the necessary file in in .pdf format format and click on click Open button.
As As a result, new options actions appear:
- View attached file
link label – - – by clicking
on - it the file opens for viewing;
- Remove attached file
link label – - – by clicking
on - it the file removes from the claim
and - and Attach file for resubmission
link label - link 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 - click Add new
link label- , set activity details in the new line appeared;
- to remove an activity: highlight any activity and
click on - click Delete
link label- .
By clicking
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Set activity start to encounter start for all activities
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Start Date column values set as Encounter Start.
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Step 4. Click Save Resubmission
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Claim Claim Details view closes. The claim status changes to to Ready for Resubmission.
As soon as the resubmission is 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.