Medical Claims; additional fields
We need to have more options available to add other information to medical claims. Medicare requires a Referring and an Ordering provider on claims for images. With OMS Vision, we can only add one and have to stop the claim within our clearinghouse to add the other information. We also need to be able to add information in field 22 for any adjusted claims, corrected claims, etc. This is becoming more frequent with a lot of our medical carriers. AND they will no longer accept paper claims for any adjustments or corrections. This has to be done electronically. You have the "Claims Extra" area, just add a few more areas where we can input the needed information.
Thanks for letting us know about this, If you can provide us with a rejected (and HIPAA redacted) claim from a carrier that documents this, it would go a long way toward expediting this process.
Outside of that, can you give us some examples of specific insurance companies that are requiring this information?
Medicare needs both a referring and ordering provider.