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There are 4 main
reasons why this occurs:
1. There was No
Insurance selected from the Insurance drop down menu in the claim when
the Claim was created.
>> To fix, open the
Patient Record and click on the CLAIMS box at the top of the screen.
Find and double click on the service date in question and from the
opened Edit Claims Data screen, find the Insurance field on the top left
hand side of the screen, and verify that an active Insurance is
selected.
2. One or more of
the Procedure Codes used on the claim is marked as “Do Not Bill
Insurance” in the Procedure Code setup.
>> To fix, open the
Patient Record and click on the CLAIMS box at the top of the screen.
Find and double click on the service date in question and from the
opened Edit Claims Data screen, note the Procedure Codes being used.
From the top navigational menu, select Setup and then Procedure. Find
and double-click on each of the Procedure and verify that they are not
incorrectly marked as “Do Not Bill Insurance”.
If a Procedure Code
marked correctly as “Do Not Bill Insurance” is being billed along with
other Procedure Codes on the same claim, it needs to be removed and
billed on a separate claim.
3. The Type of
Billing for the Insurance selected is not Paper.
>> To fix, open the
Patient Record and click on the Insurance Tab. Note the name of the
Insurance company listed. From the top navigational menu, select Setup
and then Insurance. Find and double-click on the Insurance company name
listed and in the opened Edit Insurance Data screen, to the bottom left
side, note what Type of Billing this insurance is set up as (Paper or
Electronic). If it is Electronic, you will not find it under the Paper
icon. You need to click the Electronic icon.
4. The Type of
Billing for the Insurance selected is not Electronic.
>> To fix, open the
Patient Record and click on the Insurance Tab. Note the name of the
Insurance company listed. From the top navigational menu, select Setup
and then Insurance. Find and double-click on the Insurance company name
listed and in the opened Edit Insurance Data screen, to the bottom left
side, note what Type of Billing this insurance is set up as (Paper or
Electronic). If it is Paper, you will not find it under the Electronic
icon. You need to click the Paper icon. |
