2.4 Print/Send/File Insurance Claims
Once insured charges are approved, claims are dropped in Print/Send Claims where users can send claims electronically, print HCFA claim forms, and/or export claim files to manage externally.
The dates default to the last 30 days. Click CLEAR to show all pending claims.
Insurance Co.'s that have been set up as electronic filing with a Payer ID will show with an 'E'. Users have the option to file by paper even when an Insurance Co is set up to file electronically.
Insurance company's set up for paper filing will appear with a 'P'.
To Preview Claims
Select the desired claims you want to view & click PREVIEW.
A message will appear asking the User if they would like to see with HCFA information in preview.
Select HCFA 1500 to produce an image of the HCFA form.
Select BLANK FORM to bring up the Grey Scale format that can be printed on an official HCFA 1500 Form.
*If edits are required, users have the ability to click on the DOS which will bring up the Enter Charges screen. (Editing charges is covered in greater detail in the Enter Charges & Refiling/Editing Claims portion of the manual).
The ChiroFusion Billing system relies on pop-up validations to execute processes. If you are using ChiroFusion in Chrome for the first time, & the preview pop-up window does not appear, look to the top right corner of your browser bar in Chrome. There will likely be a Red 'X' indicating that your Pop-Ups are being blocked. You will need to click on the 'X' icon & select 'Always Allow'. This will ensure that billing windows will always display in Chrome. Click here for Help Center Solution.
To File Claims
Select the desired claims you want to file.
Select the method you want to file.
Electronically- Will generate a batch to Office Ally for Processing and can be further managed in E-Claim Tracking
Paper Claim- Will generate a claim to be printed on a HCFA 1500 form.
Export- Will create an ANSI 837 File that will be downloaded to your computer and can be used to upload to an outside clearinghouse.
*If there is a need for numerical diagnosis pointers to be on the claim form, users have the option to select to change pointers for both e-claims and exporting options. Click the checkbox labeled "Convert Diag Ptr to Numeric" to do so.
If you experience issues with alignment & the form not printing properly, see our Help Desk article: How do I correct a Mis-aligned HCFA 1500 form?
To Regenerate A Claims Batch
Sometimes there is a need to bring back the batch that was just generated (the wrong filing method was selected, the printer jammed/ran out of ink). Users can achieve this with Regenerating the Claims batch.
Go to the Regenerate Claims drop down menu.
Select the batch.
The selected batch will show in the print/send claims tray & can be reprinted/filed.
To Remove Encounters from Print/Send Claims
If a claim was approved by accident, users can remove it from print/send claims & move it back to Approve Charges.
Select claims.
Click REMOVE.