More states and insurance companies are requiring electronic claims.  This throws a twist in the billing if you need to cancel a claim or replace it.  On paper, you would send a letter and/or a correct claim.  How do you do this electronically?

1)  First, you need to be sending claims electronically using the ANSI 837 format.  (Print image formats look exactly like the paper claim and does not offer the additional fields (aka loops and segments) needed.

2)  Next, you need to populate Loop 2300 Segment CLM05-3.  There are three types of claims that can be in this loop/segment:

         1 = Original Claim  (automatically sent by Medisoft)
         7 = Replacement Claim (enter in Frequency Code)
         8 = Cancel Claim (enter in Frequency Code)

3)  The Frequency Code is found Claims Management.  After editing a claim, enter the proper code (7 or 8) in the Frequency box at the bottom of the screen.

    If you need a program to send your claims in the ANSI 837 format, we have one we love!   Give us a call and we will tell you all about it. 

Happy Billing and Charting,
Bonnie J. Flom, CMRS
Author of Mastering Medisoft
Phone: 763-546-2455
Billing Buddies