Partner

Bill Insurance

PCC's insurance billing tools help you submit claims in just a few minutes. You can review claim problems quickly and easily, make corrections and resubmit claims, and then review rejections using clear, straightforward tools.

Read the Submit Claims procedure below to learn how to send out claims. Then read further to learn more about how to work down your insurance accounts receivable.

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  • Submit Claims

    Follow this procedure to prepare and send claims.

  • Insurance Billing Overview

    Partner's insurance billing tools help submit claims, review rejections, and work down your insurance accounts receivable. Partner helps you maximize the use of your time as you pursue proper insurance reimbursement.

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  • CARC and RARC Values in PCC

    When insurance carriers send payment and adjustment information, either on an EOB or an ERA, they often include a code with a small message. These codes are known as CARC values, or Claim Adjustment Reason Codes, and they are an industry-wide standard.

  • What is a Claim ID Number?

    Every insurance claim in Partner has a unique identification number. The number appears in various Partner reports and programs, and you can use it to improve claim tracking and payment posting.

  • Check Eligibility in Partner

    You can review and confirm patient insurance eligibility in either PCC EHR or in the Partner practice management system. This article teaches you how to use Partner's eligibility program to review status for upcoming appointments.

  • Print Paper HCFA Claim Forms

    Hopefully most of your claims are submitted electronically. Some claims must still be printed on paper, however. The procedure above provides the basics. This section describes additional details and options in the hcfa program.

  • The Claim Journey Explained

    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.

  • Check Patient Insurance Eligibility

    PCC automatically checks insurance eligibility for all of a scheduled patient's active insurance plans, if the carriers support automated eligibility. You can use eligibility features in PCC to review and confirm eligibility for upcoming appointments. You can also review and re-check a patient's insurance eligibility status during Patient Check-In.
  • Edit and Resubmit Claims

    • Resubmit Batches of Claims (maketags)

      Use Resubmit Claim Forms (maketags) to find and rebatch large groups of claims based on customizable criteria.

    • Add an Attachment Code to a Claim

      If a secondary insurance requires the EOB from the primary, or any claim requires a certificate of medical necessity, discharge summary, or other clinical documentation, you can add attachment codes to a visit’s charges, generate a unique attachment ID, and specify the attachment type and method.

    • Correct a Claim: How to Fix and Resubmit an Insurance Claim

      When you receive a rejection, or you have a claim or billing problem, how do you correct the encounter information and then resubmit the corrected claim? Check out the procedures below to learn how to update and resubmit a claim. This article starts with a “quickstart” simplified guide and then goes into more detail. You […]

    • Change an Encounter’s Billing Place of Service After Posting Charges

      You can adjust an encounter’s place of service when you Post Charges in PCC EHR. Sometimes you need to change the billing place of service of an encounter after the charges have already been posted. Read below to learn how to change the billing place of service of a phone note, portal message, or visit […]
  • Review EDI Reports

    • EDI Report Glossary

      This glossary includes definitions and examples of several important EDI Reports. As always, feel free to contact PCC Support at 1-800-722-1082 if you have any questions or need help understanding EDI reports.

    • Which EDI Reports Should You Review?

      PCC, claim clearinghouses, and carriers all send EDI reports. How do you know which reports are important to review, and which reports are merely for reference purposes?

    • Introduction to EDI Reports

      Your office receives many different electronic reports related to claims or other electronic submissions. These include:

    • Read ERA 835s from Payers

      The ERA Reports program (erareports) lists remittance advice that insurance carriers sent to your office. As soon as Partner receives an electronic EOB from a carrier, it reads the file and creates "check" files, which can be viewed on the main screen in erareports.

    • Review Claim Submission Reports

      The EDI Reports (ecsreports) program stores and displays claim and transmission related messages and reports. You can quickly search, review, and print the reports, as well as track which reports you have printed in the past.
  • Track and Work on Outstanding Claims

    • Review Payer A/R Summary (insaging)

      The insaging report shows you an aged summary of your practice's outstanding charges broken down by insurance group. It is a helpful collection tool that can show you which carriers owe you the most money and how old those balances are. The insaging report is also a quick way to see your total A/R, and it will help you determine which insurance carriers need follow-up attention.

    • Work on Unpaid Claims (inscoar)

      The inscoar report provides a detailed charge-by-charge accounts receivable for your insurance companies. You can use inscoar to find insurance charges that have not been paid and to work down old, overdue charges. In addition, interactive inscoar is a great work environment from which you can research billing history, make changes, and resubmit claims.

    • Track and Work on Outstanding Claims

      Insurance claims are not always paid, and insurance carriers do not always send you an explanation. Therefore, you need tools to track and work-down your outstanding claims. The topics below explain Partner's tools for claim work.