File Processing

You can use the File Processing feature to manage Linked Contract billing. The File Processing feature is available under Admin > File Processing, and consists of two tabs Claim Files and Remittances to view what is billed and what is received by an Agency. Both tabs include search filters to narrow searches to a particular File Type, Contract, Batch Number, File Name, and Processing date ranges.

Claim Files Closed

The Claim Files tab captures all invoices, or claims, processed for Linked Contracts. Search results appear under the search filters. Clicking on the ellipses icon under the Action column opens a dropdown with additional options: Claim files can be viewed by clicking on Detail and Summary and extracted from HHAeXchange using the Exportoption.

Claim File record information is explained in the following table.

Column	Description
File Type	Claim File type.
Claim Type	Type of claim such as Original, Adjusted, or Void.
Contract	The Billed Contract.
Invoice Batch	The Invoice Batch Number assigned by the HHAeXchange system.
Claim Number	The Claim Number assigned by the HHAeXchange system.
Patient #	The number of Patient cases billed in the claim.
Claim #	The number of claims within the file.
Claim Amount	The billed amount.
File Name	The Claim File name.
Processed Date/Time	The date and time the claim was generated in HHAeXchange.

Remittances Closed

The Remittances tab displays a record of all 835 Remittance Files received by the Agency. Search results appear under the search filters. The Remittance files can be extracted from HHAeXchange using the Exported link.

Remittance record information in the results is explained in the following table.

Column	Description
Contract	The Contract associated with the 835 file.
Check Number	The check number associated with the 835 file.
Check Date	The date the check was issued.
Billed	The amount billed in the 837 Claim File.
Paid	The amount paid in the 835 Remittance File.
Rejected	Any visits or items included in an 837 Claim file which were not paid.
Adjustment	Any visits or items included in an 837 Claim file which were only partially paid.
Patient Resp	The amount the Patient is responsible for paying (if applicable).
PLB	The Provider Level Adjustment is a secondary adjustment that can either decrease or increase the payment. Multiple adjustments may be captured by a single PLB.
File Name	The 835 file name.
Processed Date/Time	The date and time the file was processed in HHAeXchange.