Provider Complete Corner

Steps to Ensure All Claims Are Being Billed
How can I make sure all my claims are being billed – either submitted to Change Healthcare Provider Complete or printing on paper?

• After every billing cycle your office should print the Charges Not Yet Billed Report. This allows you to see what claims in your system are not getting billed, possibly paper billing has not been printed or claims are listed on the Bad Claims Report.
• To run this report: select Reports > Financial > Charges Not Yet Billed > Summary.  Make sure Insurance Charges is selected under Advanced Configuration. This report will give you a list of all claims that are waiting to be billed.  There should only be deferred claims on this report once all billing is completed.

Are you printing your CMS 1500 forms as part of your Billing Cycle? 

• At least once a week your office should run all PAPER billing forms. This would include CMS 1500, Medicare, Medicaid and any other claims you print on paper. Even though insurances are moving away from submitting paper claims you may not have changed the billing type in your system to go from paper to electronic. Workman’s Compensation, Auto and some secondary claims must be submitted on paper.

If you would like assistance, please call the Practice Manager Support Team at 800-487-9135, press 1 and 1 again.