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PM ERM posting question

CPS, C-EMR, PM

Last Post by Anonymous 1 second ago

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belliott

(@belliott)

Posts: 7

Active Member

Topic starter

I am struggling with the set up of non payment codes for the Elec remitt posting. Under the insurance carrier you set up the EDI for non payment codes. (Insurance Carrier response processing).
I continue to set up codes and have difficulites. For example if I have a code that is 243 on the remittance and I dont want any action or transfer, just for the claim to go into a follow up queue to be reviewed. I will put Action: NONE and assign owner for the follow up queue name.
Is anyone using these Centricity Processor features and can assist? I have read and reread the limited material in set up and still will have claims go to waiting patient payment status when i thought i have set this up not to take this action.
HELP!
Thanks,
Bridget

Posted : January 13, 2015 8:31 am

angelahunsberger

(@angelahunsberger)

Posts: 290

Reputable Member

Hello, I can help with this. In fact, I am giving a free webinar that discusses denial management in Centricity using Visit Owners. It includes setting up these response processors. I think you will get a lot out of this. Here's the link to register:
http://meetings.hayesmanagement.com/chugencorepresentation-0

So, regarding the response processors. What's not working for you? It is a tricky little known fact, but the response processors pull from the Insurance Carrier with the Payor Literal with the lowest Centricity ID field. That can throw you off.

Come to the presentation and learn all kinds of tips and tricks including how to triage these using the Task Management 🙂

Posted : January 26, 2015 5:03 am

nramos

(@nramos)

Posts: 4

New Member

Hi - Angela will you be doing any upcoming presentations on this topic?

Posted : March 3, 2015 9:28 am

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