Overview
Corrected claims in PIMSY allow you to electronically resubmit a claim that was rejected or denied by an insurance company due to incorrect or missing information (i.e. invalid ID number or date of birth). Instead of billing out the original claim again, PIMSY enables you to resubmit a corrected claim. This feature helps to reduce claim denials and minimize reimbursement delays.
Required Permissions and Prerequisites
- This article is in reference to our Desktop application
- Please assign the Create, Modify, View, and Delete permissions for the following rule(s):
- Electronic Data Exchange (EDE)
- Electronic Data Exchange (EDE) Type
- Invoice List View
- Settings:
- -500 BILLING - How to create Resubmission Invoices
Step-by-Step Instructions
Step 1: Navigating to the Invoicing Screen
From the top navigation menu, go to:
Financial > Invoicing
Step 2: Creating a Corrected Claim
From the Invoicing screen, filter for the Invoice # that was rejected. Click on the invoice line in the top half of the invoice screen. This will display all associated transactions below that are associated with the selected note.
Since we do not want to resend the original claim, click Copy to duplicate the appropriate invoice.
Next, right click on the column header and selected Column Chooser from the menu that appears. From the options, add Resubmission and Payer Control #. If the Payer Control # is not automatically populated, please ensure to manually add it. The clearinghouse will reject the claim if this number is missing.
Check the Resubmission box and click Save. This will create a new invoice that is marked as a resubmission and will pull the next time billing filters for un-invoiced claims to send.