Print Paper HCFA Claim Forms
Hopefully your practice can submit almost all of your claims electronically. Some claims must still be printed on paper, however.
Read the Submit Claims article to review the basic steps of submitting both electronic and paper claims.
This reference article provides additional details about generating paper claims.
Contents
What Claims Require a Paper HCFA 1500 Form?
Why would you need to print a paper claim?
-
Secondary Claims That Require EOB: In some cases, a secondary claim requires a copy of the EOB from the primary payer, and therefore can not be submitted electronically. You will need to print out the claim and staple a copy of the EOB to it.
-
Unusual Rendering Provider Situations: When a charge is posted to a non-provider, such as the “Office” provider or a nurse, you may encounter a situation where a claim can not be submitted electronically. You should speak with PCC Support for help configuring which providers are valid for electronic submission. Whenever you add a new provider, inform PCC Support so they can properly configure your provider for electronic claim submission.
Print a Single Paper Claim
When you need to print a single paper claim for a single encounter, use the Correct Mistakes (oops
) program.
Press F2 – Generate Claim and then select charges to appear on the claim.
You can use this same key to print a single paper claim or queue up an electronic claim, but the Edit Charges functionality of PCC EHR is a better tool for queueing up claims to a batch.
Print Batches of HCFA 1500 Claim Forms
When claims cannot be submitted electronically, your PCC system will queue them to a “paper batch” for printing. Use the HCFA program to print batches of paper claims.
Review the steps below to learn more about each step.
Open the HCFA Program
Select the Print Paper Claims (hcfa
) program in the Insurance Billing & Collections section of your Practice Management window.
Review and Select Claim Batches
When you run hcfa
, you are first presented with a list of batches.
On this screen, you can review the number of waiting claims, the date the batch was last printed, and the name of each batch. Select any batch and press Enter to begin printing.
Is that the Number of Claims that Will Print?: The number of claims in this list does not represent the exact number of claims that will print. When you select a batch and press Enter, PCC processes the claims and may discover that some of the claims no longer exist, were printed and submitted earlier, reference charges that have been deleted, or reference charges that have been corrected and regenerated (creating an unneeded duplicate tag).
What are the ECS Batch Lines For?: The hcfa
program can generate paper claims for any set of claims waiting to be submitted. You can even print out claims that are supposed to be submitted electronically by selecting one of the “Z_ECS” lines listed in hcfa
. This is not recommended and should only be done in an emergency (i.e., your internet connection is down and a timely filing limit is approaching). Even then, it is probably preferable to run oops
and print the claims you need one at a time.
Review Claims as They Are Prepared
The hcfa
program processes all of the tags waiting in the batch you chose. You will see a message listing the claims:
I am getting ready to process the claims.
I am now processing the claims.
Flinstone, Pebbles 07/01/04 $ 50.00 B MEDICAID
Flinstone, Bam Bam 04/02/04 $ 50.00 C MEDICAID
Canning, John 03/03/04 $ 26.00 C MEDICAID
I am done processing the claims, and am ready to print them.
Optionally Print a Test HCFA 1500
Next, hcfa
gives you the option to print a sample form to make sure your paper is properly aligned. This is especially important if you print HCFA 1500 forms on a pin-fed printer.
I can print a test form for you, so that you
can check the alignment of the paper.
Do you want a test MEDICAID form printed (yes or no)? Yes
Do you want another test MEDICAID printed (yes or no):
You can print as many test forms as you need.
Confirm You Are Ready to Print
The hcfa
program double-checks that you are ready to print your claims. You can type “No” and then follow the prompts to quit, or type “Yes” to print out your claims.
I am all ready to print these MEDICAID forms. Are you?
If you say yes, I will print them, otherwise I won’t:
Confirm Printing Was Successful
In case there was an error while printing, hcfa
asks if the claims printed successfully. You should wait until the claims finish printing and review them before answering “Yes” to this question.
Here Goes… I am printing the forms.
Are you satisfied with the MEDICAID forms printed? If you are,
I shall clear out the queue for this type of form. If you are
not, I will give you another chance to print them.
Are you satisfied with the MEDICAID forms?
Print a Log of Which HCFA Forms You Printed: A log of all the HCFAs generated will automatically print out when you quit the HCFA program.
Reprinting Batches
Your PCC system stores a record of the last printing of each HCFA Batch so you can easily reprint it. At the bottom of the list of batches, you will find options to reprint the last run of each batch:
If you need just a log of the last batch printed, but do not need to print the batch itself, simply select the “Reprint…” option for the needed log, and then answer “No” to the subsequent questions (do not print any claims). Upon quitting the hcfa
program, the log will reprint.
Force a Large Number of Claims to Requeue
If you need to requeue a large number of claims for some reason, contact PCC Support for help. This is not a common need. For more information, read Requeue Large Numbers of Claims.