Upload Procedures (continued)
Note that there is a drop down list box where you will set Electroniclaim clearinghouse as the default EMC Receivers. In this case, you would put the Medicare Part B – Texas payer number in the "EMC payer Number Field. Now your insurance payer is set up properly and you can click on save.
Creating the Electronic Claim File
Let’s assume that you have completed all of you lists for the providers, Diagnosis Codes, CPT Codes, EMC Receivers, Insurance Carriers, Patient Guarantors/Cases, and Addresses in the Electroniclaim program. Now you are ready to enter transaction and create claims.
Go to claim management (do so by clicking on "Claim Management" button or going to "Activities" and clicking on "Claim Management". You will see the screen below:
You should see your claims transaction that you have created showing in the box above. Simply hit the button "Create Claims" to create the claims for those transactions. They will appear as above and default to "Ready to Send".
The Electroniclaim program is defaulted to upload the claims to NDC (National Data Corporation) the Electroniclaim clearinghouse. We are going to act as if we were going to send the claims to NDC so that we can create an electronic claim file.
You will see the following below.
Make sure that you have the Electronic billing method button clicked and Electroniclaim showing in the Electronic Claims Receiver box. Click the OK button.
This will send the claim Electronically through the EMC Receiver to Electroniclaim.
You should now see the above box that says "Send Electronic Claims to NDC". We are not actually going to send the claims to the NDC; however, we are going to generate the necessary EMC claim files. Now click the button "Send Claims now".
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How to use ElectroniClaim
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1999)
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