Billing Review Problems and Resolutions
Billing Review checks visit information against export requirements specific to each Payer. If a visit violates a rule stipulated by a Payer, it is held at Billing Review until the error is corrected. Therefore, users are not able to print invoices or submit e-claims.
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Note: If you have already created an invoice, make sure to delete and regenerate it after updating your diagnosis code.
Option 1 — To update the diagnosis on the Authorization level (Most common):
The diagnosis code will now be associated with all Visits under this Authorization.
Option 2 —To update the diagnosis on the Payer level (In cases where your Payer allows invoice billing without an Authorization):
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Option 1 Merge Invoice
Option 2 Delete Invoice
Additional steps may be required if visits are exported or paid. |