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.
Training Videos
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Review Policies in Practice Management and Add an Insurance Plan to Your System
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Insurance Billing (Advanced Training Session)
Watch this video to learn insurance billing workflows for configuration, claim review, and reporting. -
The features described in this video are available in PCC 9.5, available in all PCC practices after January 2023.
Get Started
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Learn how to submit claims in PCC EHR or in the previous Practice Management tool.
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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.
Learn More
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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.
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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.
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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.
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While most claims are transmitted to payors electronically, sometimes you may need to generate a paper 1500 HCFA form.
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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.
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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
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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 […]
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- Review EDI Reports
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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.
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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? -
Your office receives many different electronic reports related to claims or other electronic submissions. These include:
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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.
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Review Archived Claim and EDI 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.
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- Track and Work on Outstanding Claims
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Review Payer A/R Summary (insaging)
Theinsaging
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. Theinsaging
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)
Theinscoar
report provides a detailed charge-by-charge accounts receivable for your insurance companies. You can useinscoar
to find insurance charges that have not been paid and to work down old, overdue charges. In addition, interactiveinscoar
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.
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