3. How is a Claim First Created, and Where Does it Go?

Posting a charge in chuck is the first step to creating a claim. chuck creates tags, which are records of charge information. Other programs, such as oops or 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.

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.