7Creating Claims

Lecture 2

7.6 Changing the Status of a Claim7-16

• When claims are transmitted electronically, the Claim Status for each claim automatically changes from Ready To Send to Sent– Claim statuses can be changed manually in the

Change Claim Status/Billing Method dialog box• Exercise 7-4 page 231

7.7 Submitting Electronic Claims7-17

• To submit electronic claims in Medisoft– Select Revenue Management from the Activities

Menu– The Revenue Management window opens

7.7 Submitting Electronic Claims (Continued)7-18

• Select Claims on the Process menu of the Revenue Management window– A list of claims ready to be sent is displayed– Click Check Claims and the EDI receiver to perform

an edit on the claims– The Send button is used to submit the claims

7.8 Sending Electronic ClaimAttachments

7-19

• The EDI Report area within the Diagnosis tab of the Case dialog box indicates when an attachment will accompany the claim and how the attachment will be transmitted

• The EDI Report area contains three boxes:– Report Type Code– Report Transmission Code– Attachment Control Number

7.8 Sending Electronic ClaimAttachments (Continued)

7-20

• The EDI Report area informs the payer of the presence and status of any attachments

EDI report area