Submit Claims
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Submit Claims (5 minutes • 2024-05)
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Prepare and submit claims. Then work on any claims that were stuck and couldn't be submitted.
Related Articles
- Here are some related articles in Billing and Practice Management > Submit Claims:
- Use the Claims tool to process and submit claims to insurance companies and other payers, work on claims that could not be submitted, and review a log of submissions.
Follow Up on Unpaid Claims and Insurance A/R
You can use PCC's tools to work on claims with errors, rejections, and denials. But what if a problem is fixed, but the claim wasn't resubmitted? Or what if an insurance payor simply never responds? Are some insurance payers regularly failing to pay you in a timely fashion? You may need specialized tools to track and work down your practice’s insurance A/R.- PCC's insurance billing tools help you process and prepare claims, send them electronically or print them, review rejections and denials, fix problems and resubmit, and work down your insurance accounts receivable. You can maximize the use of your time as you pursue proper insurance reimbursement.
- While most claims are transmitted to payors electronically, sometimes you may need to generate a paper 1500 HCFA form.
- How is a claim created, and what happens in the background to make sure your practice is paid? Read below to learn some of the "under the hood" workings of claims after you post charges into PCC EHR.
Configure Claim Holds and Claim Delay
Watch this video to learn how to hold claims for specific providers, locations, or plans and how to configure your practice's claim delay.Hold Claims or Delay All Claims
When your practice needs to prevent certain claims from being submitted, you can create a claim hold. A claim hold prevents claims from going out for specific dates of service, billing providers, places of service, and insurance plans. You can also configure your practice’s claim delay, which prevents any claim from going out until a certain number of days after the date of service.Work on Claim Errors and Rejections
After you prepare and submit claims, you must deal with claims that could not be submitted or were rejected.Configure Your Telemedicine Place of Service Codes (2022)
Learn about CMS's changes to Place of Service (POS) codes for telemedicine (telehealth), and learn options for adjusting your configuration in PCC EHR so you can schedule and bill for telemedicine encounters quickly and easily.Insurance Billing (Advanced Training Session)
Watch this video to learn insurance billing workflows for configuration, claim review, and reporting.Claim Error Needs Correction Reference
What kinds of pre-submission processing does your PCC system do on claims? What errors can it find, and how do you fix them?- When you need to review the insurance company's full response to a claim submission, how do you open and work with the ERA 835 file in PCC?