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Claims and Billing Issues
Submit claims, post payments, process remittance, resolve rejections, manage collections, and handle billing adjustments.
ERA and Remittance
- How to auto calculate 144: Incentive adjustment, e.g. preferred product/service towards an adjustment in remittance.
- How to View Remittances from the Claims Screen?
- How to Delete Insurance credit?
- How to post Partial recoup
- How to auto calculate 253: Sequestration - reduction in federal payment towards an adjustment in remittance.
- How to Reverse Insurance Write off action from the remittance screen when a charge code is marked as Denied and action is taken as Write OFF?
- How to Move Money or Transfer Patient Credit from One Patient Account to Another
- How to pull a claim under remittance to post the insurance payment ?
General Billing Issues
- How can the Employer's name and address be modified from the Employer Master?
- How to resend multiple claims from the outstanding screen.
- How to add multiple invoice email addresses to the Employer Master
- How to run a report for claims those were denied, irrespective of the claim status.
- How to run collection agency payments report for a specific attending provider.
- Employer Invoice By Department
- How to remove the patient SSN number from employer invoice.
- How to stop the auto-creation of penalty invoices for No Show appointments for specific encounter types.
- How to associate DME code with the CPT/HCPC?
- How to fix the claim validation message "Please assign Case to Employer Claim from I button"?
- How to attach a document on employer payment receipt?
Patient Payments
- How to fix all Negative balances on the patient account?
- How to select an employer on the Patient registration screen?
- How to delete ERACN - charge next transaction voucher.
- How to change Insurance On the Encounter page?
- How to take Bulk Patient Write-offs with a Patient Balance filter?
- How to print first modifier or all modifiers on patient ledger report.
- How to attach documents under the patient account screen?
- Unable to Delete Credit Card Payments, Processed by Integrity Pay or Open Edge In PrognoCIS
- Payment Plan - Validation Message : Enter Next Payment Date between Plan Start Date and Close Date.
- How to get the list of claims that are marked Void for a specific patient
- How to delete the payment collected in error via Integrity Pay or Open Edge (Pay Pros) in Prognocis
Patient Statements
- How to generate or print patient statements for multiple patients
- How to generate patient statement for a specific financial class?
- How can bulk PDF statements be viewed within PrognoCIS?
- How to Print a Patient Statement for Date of Service?
- How to Print a Patient Statement from the Patient Account Screen
- How to manage the statement format sequence on Report >>Statement screen ?
- How to Change the Default Patient Statement Template for Printing Statements for Specific Patients or Bulk Patients
- How to print statement from remittance screen.
Payment Posting
- How to reopen a claim batch.
- How to post the created Patient receipt & apply the payment to the patient account?
- How to do a bulk employer write off.
- How to delete/revert/reverse the Patient write off voucher
- How to Create a New Receipt Batch
- How to check non-posted insurance write-off vouchers.
- How to do Partial Patient write off?
- How to adjust patient advance against outstanding patient responsibility from patient account screen within PrognoCIS.
- How to do a bulk patient write off.
- How to check non-posted patient write-off vouchers.
- How to do bulk insurance write off.
- How to Move a Copay, Visit, or Deductible to a Patient Advance?
- How to collect copay from the schedule screen?
- How to Post a Patient Refund in Prognocis?
Claim Submission
- How can an existing scrubber check be marked as inactive in PrognoCIS?
- How to auto populate Other Claim ID on I button on claim for WorkComp, Auto Accident or Other Accident claims?
- How to Delete CPT/HCPC from claims screen?
- How to add comments on claim forms for specific charge Codes ?
- How to fix the claim Validation "Primary insurance subscriber id length not same as required by insurance."?
- What are the different types of claim Status?
- How to check track status code& legends?
- How to resend the claims from the claims screen?
- How to print CMS 1500 or HCFA only for cpt or hcpc codes which were not paid by insurance on particular claim
- How to take action against denied charge code from the claim screen.
- How can the Initial Treatment Date be updated on a claim using the “I” button in PrognoCIS?
- How to add secondary insurance on New UI from the claim screen?
- State of Accident is mandatory for Auto Accident
- How to add referring provider to particular claim.
- How to Enter an Authorization Number on a Claim Screen?
- How to fix the validation of the ICD code that is inactive
- How to bypass CCI Edit warning message for a claim ?
- How to submit new claims in bulk?
- How to fix the if Authorization number is not reflecting on the claim screen?
- How to add the ICD code to a claim from Claim screen ?
- How to Update Financial class in Bulk from Outstanding Claims screens?
- How to update follow-up days for Assignment Done Status on Assign Task screen
- How to arrange the column under the Claims Processed Screen?
- How to change the Billed Insurance claim to Self Pay claim?
- How to add the missing codes on the claim screen.
- How to sort ICD codes in Ascending or Descending order on claim.
- How to update the Location & business unit on the claim?
- How to deactivate Claim Batch Functionality?
- How to delete Pre - Authorization number from patient insurance umbrella ?
- How to add the Injury date on the claim?
- How to bill different CPT or HCPC code on a claim for secondary insurance.
- How to bill a claim with a special charge code?
- How to run reports for patients with outstanding balances by procedure codes?
- What is the use of cell 19 Local Use under claim I button.
Fee Schedules
Claim Rejections and Errors
- What are the reasons for the Claim Validation error: " Cannot send 837 file. There is no Insurance Responsibility"?
- How to verify the claim rejection reason in Prognocis
- How to fix the error: The claim is being billed to Primary Medicare with a Subscriber ID which does not meet new MBI number standards. Please check the Subscriber ID prior to submission, when trying to bill a claim for commercial insurance?
- Claim validation error: Please assign case to Employer claim from I button
Workers Compensation
Collections
- How to close multiple assign task at once ?
- How to send claims with patient balances to a collection agency.
- How can a report be generated for outstanding claims that are assigned to the Collection Agency in PrognoCIS?
- How to send claims for a specific patient to a collection agency.
- How to locate patient refund voucher in Prognocis?