Posting a charge in checkout is the first step to creating a claim. The Checkout program creates claim tags, which are records of charge information. Other programs, such as
pip also create tags when you rebatch charges or send them to the next responsible party.
How do you transform the tags on your system into claims? Either by running
preptags followed by
ECS or by running
hcfa is a simple program that prints paper HCFA claims for any batch (a batch is a collection of tags). When you run
preptags, however, Partner sorts the tags, checks for errors, puts designated tags into a paper batch, and then launches
ECS to send electronic claims to PCC for processing.
If you have any questions or would like to learn more about how claims are created in your office, feel free to contact PCC at 1-800-722-1082.
Under the Hood Vocabulary: When you speak with PCC’s electronic claims team, you may hear references to
splitconfig. These are the underlying programs that process claims according to your practice’s customized configuration needs. If you want to know the true nerdy side of what these words mean, the process works like this: The
preptags program calls the
tagsplit program according to your practice’s settings. The
tagsplit program processes queued up tags and sorts them by insurance batch while doing a number of other validation checks, all of which relies on your practice’s custom configuration which is maintained in the
splitconfig configuration file. The
preptags program then (usually) automatically runs the
ecs program, which submits claims to payers.