Put a 'Y' in box 24C of CMS-1500
We need the ability to put a 'Y' in box 24C of our medical claim forms to indicate to the insuance company that treatment was emergent. Our claims are being denied sometimes because we didn't get pre-authorization, which we didn't have time to do as treatment was emergent! "Claim Extras" has a drop-down box for "Service Authorization Exception", but choosing "3-Emergency Care" from that list doesn't actually put anything on the printed claim form...
Hannah-Dr.Sav/Raj
shared this idea
selecting 3-Emergency Care in the Service Authorization Exception in Claims Extras window now places Y in box 24C
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Hannah-Dr.Sav/Raj
commented
When you go to submit/resubmit and the box pops up, choose the Claim Extras button, then make the Service Authorization Exception drop-down blank. That's how they made it possible to put a Y now - you choose "3-Emergency Care" from that drop-down, so I'm assuming leaving that box blank will take it away.
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Anonymous
commented
HOW DO I REMOVE THE Y IN BOX 24C? SOME HOW IT MUST OF BEEN SET UP THAT WAY INITIALLY
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Hannah-Dr.Sav/Raj
commented
I was told the same thing. I can't remember names of any patients who have been denied, and I'm not going to intentionally get a claim denied-then waste time sending a corrected one-just because OMSVision wants proof.
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Anonymous
commented
I asked for this a long time ago. I was told I needed a denial from the insurance company before you would do it. This makes no since. Why would I send in a claim that I know will be denied and then have to appeal it so you can have it. It is about time.
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Dawna Martin
commented
It also does not transfer to the claim from from OMS to Payer Path. It would be nice if this could be done.