Page Comparison

This section tells the system how you will be sending the claims to the insurance company.

Paper Claims: Payers accepting only paper claims check 'Paper' (Payer ID code is not required)
Electronic Claims: Check 'Electronic Claims' for e-claims

• Secondary Electronic:

  Can check & will auto generate an electronic HCFA Claim after primary EOB is posted

  When selected, if the insurance company is a secondary for a patient, will create an electronic claim. If this is not selected and the insurance is a secondary insurance for a patient, then will create a paper claim.

• Assignment - If Provider is Accepting Assignment of Benefits and will receive payment directly instead of payment going to patient.

Fee Schedule: Allows you to select the corresponding Fee Schedule from the drop-down menu, otherwise will be set with the 'Default' schedule. See Billing Manual Section 1.1 for more details.

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