File Processing

The File Processing function is used to manage Linked-Contract billing. The File Processing page consists of two tabs (Claim Files and Remittances) to view the interchange of 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. These claim files can be viewed (Detail and Summary links) and extracted from HHAeXchange using the Export link under the Status column.

The following table describes the information per Claim File record in the results.

Column	Description (Displays)
File Type	Type of Claim File.
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 maintains 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.

The following table describes the information per Remittance record in the results.

Column	Description (Displays)
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.