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Planned Systems International (PSI) , Defense Health Services System (DHSS), Relay Health

2010 UBO/UBU Annual Educational Conference. Turning Knowledge Into Action. E-Billing for Beginners (Hands-On Training) 22-25 March 2010. Planned Systems International (PSI) , Defense Health Services System (DHSS), Relay Health. 1. Processing Claims Electronically.

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Planned Systems International (PSI) , Defense Health Services System (DHSS), Relay Health

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  1. 2010 UBO/UBU Annual Educational Conference Turning Knowledge Into Action E-Billing for Beginners (Hands-On Training)22-25 March 2010 Planned Systems International (PSI), Defense Health Services System (DHSS), Relay Health

  2. 1. Processing Claims Electronically RejectedCorrect errors and validate claims TPOCSClaimsTransmitted ePremisClaims run thru Edit Masters Submit AcceptedClaim has no errors Clearinghouse Released 837 fileAuto Agent Payer Initial response is made by the payer if claim has been accepted or rejected. *Unreleased:Claims that are in ePremis and haven’t been sent to the Clearinghouse. Payer Payer E-Billing for Beginners (Hands-On Training)

  3. 2. Functionalities in ePremis • Log-On Page • Home Page • View/Modify Claims Page (Claim Filter) • Claim Display Page E-Billing for Beginners (Hands-On Training)

  4. 2. Functionalities in ePremis • Values for Quick Claim Filter:,“And” : “Through” (Range) E-Billing for Beginners (Hands-On Training)

  5. 2. Functionalities in ePremis • Billing Type:- Primary (A) - Secondary (B)- Tertiary (C) • Claim Status:- Accepted- Rejected- Warning • Transmit Type:- Electronic- Paper- Locally Print E-Billing for Beginners (Hands-On Training)

  6. 2. Functionalities in ePremis • LOB (Line of Business)1 – Medicaid2 – Medicare3 – BCBS4 – CHAMPUS/CHAMPVA5 – Commercial E-Billing for Beginners (Hands-On Training)

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