Bill to Insurance

Add Payers

• Add Insurer (Payer) to My Clients Plus
• Add or Edit Payer ID
• Find & Enter My Taxonomy Code
• Setup EDI File Settings
• Ask for resubmission details prior to re-submit failed Claim
• Enable Payer to Designate Client Level Rendering Provider

Submit Claims

• My Clients Plus Claims Process Overview
• Check Client Insurance Eligibility
• Submit Electronic Claims
• Submit Fully Paid Invoices Electronically
• Submit Electronic Claims with a Supervisor
• Submit Out of Network Claims

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CHC: Claim Scrub Errors

• Claim Scrub: Primary Diagnostic Codes are required.
• Claim Scrub: No Diagnostic Code Found in Notes for (Date) Session
• Claim Scrub: The referring provider cannot be your own organization. Click [here] to fix it.

Manage Claims

• Revert Claim to Previous State
• Claim Filters & Views
• View or Reverse Processed ERAs
• View Submitted Claims Status
• Find Payer's Claim Number
• Write a Claim Memo

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CMS 1500

• CMS1500 Claim Form Guide
• View & Print Client's CMS 1500 Form
• Print Blank CMS 1500 Form

Submit to Secondary Insurance

• Submit to Secondary Insurance
• Claim Adjustments for Submitting to Secondary Insurance Providers

Claim Rejection Codes

• Find Claim Rejection Reason
• Correct CPT Codes for Submitted Claims
• Claim Rejection: Acknowledgment/Rejected for relational field in error.
• Claim Rejection: Invalid/missing patient gender code
• Claim Rejection: NM109 Missing or Invalid Rendering Provider
• Claim Rejection: (NPI)REJECTED CLAIM BECAUSE NO BILLING TAXONOMY IS PRESENT

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Claim Troubleshooting

• Show Modifier on a Claim