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Hi All,
Does anyone know if you can change the default visit status that a Supplemental or Medigap insurance policy goes to after the primary insurance pays? Our system (CPS 12.6.0) is automatically putting the ticket to Sent-Secondary status. Our A/R Reps and collectors were under the impression that turnaround for this status was only 1 day. I believe this to be true for Primary claims filed electronically but not secondary.
We are ultimately just trying to plug a hole in our workflow by either finding a way to effectively identify Medigap/Supplemental tickets or change the status the system is using by default.
Any feedback is appreciated.
Thanks,
Jackie
Posted : June 3, 2015 9:09 am
Are the primary payments being posted via electronic remittance? Sometimes the setup of the MA18 and MA19 codes actually prompts the system to change the status to Sent - Secondary or In Progress Secondary depending upon how the primary processed.
If you like, I can look at your remit setup with you in Admin.
Posted : June 17, 2015 8:09 am
