Dear Valued MD On
Contents
1. gt lt Message 414568578 nsurance Company Rejections D 2010 Patient Date of Dollar Name Service Amount 002 82453 MAYS W YTX7894561XU 08012008 08012008 70 00 Claim Number 139553957 Patient racking Number 7777777 Account Is Payer Anthem Virginia Error 30166 Invalid Data 367 2 Location 2300 HI02 2 Error The Diagnosis Code 3672 was not found in Code Table ICD9 Diagnostics Error 30169 Invalid Data 20080801 Location 2400 DTPO3 Error The Diagnosis Code 367 2 was not valid for date 2008 08 01 Provider s Tax ID Doc ID 3223721423 23 Advanced Claim Status Report This report provides a more detailed level of reporting on the status of any claim you have submitted to an insurance carrier who participates in Claim Status note not all payers do As your claims move through the adjudication process a message will be sent back each time the status of the claim changes This report includes detailed payment information that will not be found on the Basic Claim Status Report 7 Provider s Message 1889 Tax ID Advanced Claim Status Repo ate Patient Name Service Amount B ID E0609315 Account 111 2222 SMITH ANNA 1111111111111 20080117 20080117 222 00 Claim number 124555369 15h Tracking number 6532255 Payer AETNA Finalized Payment 170 3 11 0000 THOMPSON JOHN 222222222222W 20080117 20080117 98 00 Claim number 124555370 15h Tracking num2. 25 Frequently Asked Questions Q What insurance companies can submit claims to using your service A Presently we can submit your claims to over 2200 insurance companies electronically and to most others via our Print amp Mail service See our Payer Lists for our electronic payer connection specifics Q What is meant by a Live terminal A When you first register to use WebLink you will start by operating in test mode While in test mode you will be asked to transmit a small packet of claims to verify that we can read your transmissions successfully When confirmed your account will be switched to Live status and you will be ready to send all your commercial a k a participating claims Note The submission of most non commercial a k a non participating claims requires additional registration steps to be completed before live processing may commence While in test mode claims will not be sent to the insurance carriers Q understand that certain insurance carriers presently do not accept claims electronically What do do with these claims A Our system has been designed to automatically separate claims that can go electronically from those that cannot The claims that cannot go electronically will be separated out of the session packet and automatically directed to our Print amp Mail service Q What is meant by Print amp Mail A When a batch of claims is transmitted to the MD On Line network there may be
3. 145 00 N A Accepted E y4 O METROPOLITAN MCMULLEN s Ban METLIFE 87726 MEGHAN ILS6528 09258178001 1 22 2004 108 80 N A Rejected E ge O METROPOLITAN NOWOTNY Dee METLIFE 87726 Gent ILS4902 06654137704 1 22 2004 88 00 N A Accepted E ge ID eee IABONI OXFORD HEALTH 06111 ERAIG ILS4720 547637 1 22 2004 80 00 N A Rejected E ge O Clicking on the View Session Statistics link will display information about the claims as they move through the adjudication process The statistics will update daily 17 MD On Line Rejection Report This report details the claims that you have transmitted to MD On Line that have been rejected by first line edits in place at MD On Line This message will be found after submission of your claim packet in your Messages folder The remainder of your claims not rejected in this first line of edits may still be rejected at several stages of processing either at subsequent clearinghouses or at the Payer levels as explained in the reports following this page in your sample report package essage 3979 MD ON LINE Rejections Date 12 13 07 Patient Name Date of Dollar Service Amount Doc ID E35210211 Patient Account 001 1015 7Il JOHN DOE YRP635M56071 20071212 1234 00 File Name 322240695 15h Session Tracking that 4 Tracking 6466224 your claims were in Patient Street MISSING DATA TRANSACTING THE BUSINESS OF HEALTHCARE Providers Tax ID Error s
4. records platform InSync InSync s scalability makes it ideal for solo practitioners as well as large multi specialty and multi location facilities Utilizing the cloud InSync can be accessed at any time through any Internet enabled device a local server based solution can be implemented for larger facilities With InSync data flows seamlessly between the PM and EMR modules avoiding the pitfalls associated with using disparate PM and EMR solutions MD On Line s InSync EMR solution is fully ONC ATCB Drummond and CCHIT certified for Meaningful Use MU providing additional assurance to prospective buyers regarding the product s functionality and security and allowing providers to take advantage of sizeable government incentives Scalable to practices of all specialties and sizes InSync is guaranteed to help your practice operate more efficiently while simultaneously enhancing patient care For more information about MD On Line s PM EMR solution please call 877 246 8484 to speak to a sales representative Revenue Cycle Management MD On Line s fully integrated revenue cycle management service brings together unparalleled technology and highly trained billing specialists to create efficient and effective solutions to meet all of your practice s administrative needs and allow you to focus on patient care Our proven best practices combined with a knowledgeable dedicated service team help streamline the billing process
5. WebLink and Link1500 were both specifically designed with the casual computer user in mind We also have friendly Customer Support representatives who can assist you with any questions you may have Q How soon can expect payment on my claims A The average turnaround time on claims submitted electronically is from 7 to 14 business days however we cannot guarantee specific turnaround times due to factors within downstream clearinghouse and payer pipelines that are beyond our control Q Will your software interfere with my office s practice management software A No Our program is totally separate from your existing practice management system It simply transmits the claim information that your software hands it Q What payment options are available A We accept payment by credit card MasterCard Visa American Express or automatic debit from your checking or savings account We wish to limit the volume of paper that enters and leaves our offices as well as yours therefore checks are accepted only under pre approved circumstances We also offer several pre payment options that can save you more money Q What if don t submit any claims during a particular month A You will only be responsible for the Monthly Minimum charge Q When will I be billed A You will receive your billing statement on a monthly basis beginning the month following your first live claims transmission We send these via our proprietary mail servi
6. and simplify workflows allowing healthcare organizations of all sizes to minimize operating costs improve productivity and achieve long term bottom line improvements MD On Line s revenue cycle management service integrates seamlessly with its PM EMR solution InSync which is offered to the provider at no additional cost For more information please call 877 246 8484 to speak to a sales representative Medical Transcription MD On Line is a leading provider of dictation and medical transcription services to hundreds of healthcare organizations nationwide employing highly skilled professionals and a multi tier document review system that monitors quality parameters through every step of transcription and editing Fully customizable for every size practice our ISO 9001 2000 certified Web based transcription management solution results in faster billing more complete reimbursements and improved cash flow all while helping significantly improve patient care For more information please call 877 246 8484 to speak to a sales representative Real Time Eligibility Secure patient insurance eligibility information in real time and learn about the status of patients personal deductibles and copays prior to the provider even seeing the patient with MD On Line s patient eligibility verification services With MD On Line s real time eligibility solution you can manually enter or swipe card eligibility requests to hundreds of commerci
7. claim once it has entered the carrier s system unless you are a subscriber to our Claim Status service and the payer is a participant of that program Q What is Claim Status A Claim Status is an enhancement to our LINK products that provides an extra level of information about your claim Many insurance carriers respond with a transaction format which allows additional information which we can make available to you once your claim has entered the carrier s processing system Q I have purchased a new computer software package Do need to notify you A Yes We must be aware of any major changes to your system including new hardware computer or modem new software PMS system or revision new phone numbers etc Any changes within your system that could potentially affect your ability to communicate with us should be brought to our attention as soon as possible If in doubt call our Technical Support team at 888 499 5465 ext 202 Q Our practice is planning to move to another location Should we notify you A Yes If you will be receiving a new phone number we must be made aware of the change There are several system security issues that need to be addressed should you wish to reinstall your software or if you plan to relocate your existing computer terminal If the proper procedure for reinstallation is not followed it could delay or prevent your claims from being forwarded properly Many of these security features are in place to
8. claim processing system software Depending upon your particular Practice Management System the procedures for preparing claim data for submission to our service can vary Generally speaking however your system will need to create a file that is on an accessible hard drive ANSI 837 5010A1 can also submit claims and retrieve reports using FTP This file can be an ASCII text image file of the CMS 1500 claim form or an NSF file National Standard Format 2 0 or higher or an ANSI 837 5010A1 format file The file should contain ALL data as required by the CMS NSF or ANSI specification and the carriers to whom you wish to file your claim electronically i e network or physician ID numbers etc The text image file should contain forms that maintain standard page length 60 66 lines per page with consistency of this length of primary importance The file should NOT contain any information that isn t part of the CMS NSF or ANSI 837 5010A1 specification The file should NOT contain any erroneous characters such as printer codes The file should NOT contain any compressed text If you are in doubt as to whether you can save this type of file or are unsure of the particular requirements listed above please contact our Technical Support Department by calling 888 499 5465 ext 202 MD On Line can also perform pre installation file screening whereby you provide us with a file containing the data that your PMS system prepares we will then pr
9. complete or is not current It is your responsibility to ensure that your registration is complete and current and that MD On Line has been properly notified prior to submitting these Non Commercial claims Providers can check the status of payer enrollments from the Main Menu under the Maintenance heading Payer Enrollments Claim Submission To submit claims with MD On Line s WebLink product click Send Claims located in the MD On Line Main Menu under the Claims Transactions heading Enter the complete path name for the file you wish to upload or click Browse to locate the file on your computer Once you have selected the file name click Send to transmit your claims Printing Claims To print a claim please click Print Claims located on the top of the MD On Line Web Portal Note This feature is available to Print Image WebLink submitters ONLY Viewing Messages To view messages in your LinkMail log in to your MD On Line account and click View Messages under the Claims Transactions heading in the Main Menu MD On Line frequently sends you messages regarding claim 11 status the acceptance or rejection of your claims session results company news and more so be sure to check your messages regularly Once in your LinkMail mailbox you can choose a range of dates for which to display messages Claims related messages will always appear in blue You can also choose to Ar
10. institution otherwise please forward us a voided check for the account from which you wish to have our charges debited When this payment option is chosen your bills will indicate Bank Debit as your Usual Payment Method In an effort to minimize paperwork in our office as well as yours MD On Line does not accept checks as payment for monthly charges however we do offer a discounted pre payment option which is payable by check Please contact our billing department for further details regarding our pre pay option by calling 888 499 5465 Using either of our automated methods the total amount due for your bill will automatically be deducted from your checking savings or charged to your credit card account each month There is no additional charge to you for paying your bills using either of these methods You will continue to receive a billing statement each month for your records Payments will be charged the business day after your billing statement date as indicated on your monthly MD On Line billing statement If a transaction is refused by your financial institution for any reason your MD On Line account may be subject to additional charges If you intend to dispute charges on your bill please contact the MD On Line billing office at the number indicated on your bill as soon as possible Any adjustments made to your current bill will be included in your next month s billing statement Please call 888 499 5465 Monday through Friday 8 30am 5 0
11. not responsible for rejections due to a specific payer s paper claim requirements Upon verification of your billing information your terminal will be fully activated for our Print amp Mail feature If you have any questions or need any additional assistance regarding this feature please call 888 499 5465 ext 205 Opt Out Confirmation I intend to print and mail my healthcare claims from my office I do not want MD On Line to perform this service for our account By signing below I am opting out of MD On Line s Print amp Mail service and I understand that it is my responsibility to ensure that claims identified as non electronic are submitted to the insurance company Practice Name Date Signature Print Name Phone Please FAX this form to 973 734 9910 Only fax this form to MD On Line if you want to Print amp Mail your own non electronic claims 33 xXMDOL MD On Line Referral Program Provide a referral and BOTH practices will receive a FREE month of service Now that MD On Line has assisted your office in streamlining operations and decreasing account receivable lead times we would like to ask you to share your positive experience with other health care providers If you refer a practice to us and that practice signs up to utilize one of our LINK products we will reward the referring office and the referred office with one free month of service Plus an additional free month of service will be c
12. protect you from fraudulent use of your system Q How do send claims to Medicare Medicaid and or Blue Cross Blue Shield A Sending claims to these carriers requires a more complicated registration process which can sometimes take up to 4 6 weeks We will supply the necessary forms for you and can assist you in this process Contact our Enrollment Department at 888 499 5465 ext 204 for assistance Q Can send claims with secondary Payers A Medical claims naming a secondary payer can be sent electronically as long as the primary named carrier accepts claims electronically If you submit in the 837 format you may send both institutional and professional claims directly If you submit in a Print Image format you will need to use our secondary claim product to submit professional claims institutional secondary claims are not accepted at this time NSF submitters cannot submit secondary claims and must switch to submitting in 837 or Print Image formats to be able to do so For assistance please call Tech Support at 888 499 5465 ext 202 28 Q I m concerned about the security of my claim information and I ve heard some electronic claims companies use the Internet to transmit their data How safe are my claims with your service A Our WebLink product is our most popular option available to you for submitting your claims via the Internet When using WebLink the integrated encryption features of your web browser in conjunc
13. system as you continue to add new insurance companies and doctors to your system When you receive these messages simply follow the on screen instructions If you are unsure of what to do when you see one of these messages contact Customer Support at 888 499 5465 ext 203 while you still have the message on your screen NOTE Choosing the wrong insurance carrier or signature could cause a delay in the claims being received by the insurance carrier so be sure to call us with any questions System Changes It is of the utmost importance that you contact Technical Support at 888 499 5465 ext 202 immediately if you plan to make ANY changes to your computer system hardware or software once your account has been approved for transmission This can include changes in the type of printer or practice management software you are using or a change in the TAX ID number your office is submitting under You should also contact us if your office is planning to move If you have any questions regarding whether or not a change might impact your transmissions contact Technical Support NOTE If you are planning to have multiple terminals at your site you MUST contact Technical Support prior to initiating the additional installation and set up 10 Account Orientation Payer Enrollment To submit claims electronically you will need to register the respective Doctors Providers in your practice billing service with the clearinghouse and the respec
14. the list to add or edit an NPI click on the prompt if you need more help If you choose to have MD On Line add your rendering and billing provider NPI numbers for you you must enter that data here Note The NPI data on your claim form is what will be sent to the insurance companies Institutional Claims Also known as UB04 claims institutional claims are utilized by non traditional medical facilities e g hospitals nursing homes To be able to submit institutional claims with MD On Line a provider must complete the initial enrollment forms typical turnaround time for being able to submit institutional claims is one week Once enrollment is complete you may begin sending your institutional claims by clicking isend Claims located under the Institutional Claims Transactions heading in your MDOL main menu From there you may upload files and submit as you would do normally To view the session results of your institutional claims ONLY please click on iSession Results Messages related to your institutional claims submission can be viewed by clicking on the View iMessages menu option 14 To perform a patient search related to your institutional claims submission click on the Patient Search menu option Enter a valid Tax ID and hit Submit to proceed to the Claim Management tool The institutional claims dashboard can be accessed by clicking the Dashboard heading located at the top of the screen From
15. xXMDOL MD On Line WebLink Welcome Packet Dear Valued MD On Line Customer The employees of MD On Line would like to take this opportunity to thank you for choosing to submit your claims utilizing one of our products We are confident that you will immediately see the many benefits of submitting your health care transactions through our network Our new submitter orientation packet is designed to assist you in learning how our claim processing system works Please keep in mind that our Customer and Technical Support personnel are available to assist you with any questions you may have Customer Service and Technical Support can both be reached from 8 30AM 6 00PM EST at the following toll free number 888 499 5465 If you know which department you are trying to reach please see below for the corresponding extension e SALES Option 1 Extension 201 e TECHNICAL SUPPORT Option 2 Extension 202 e CUSTOMER SUPPORT Option 3 Extension 203 e ENROLLMENT Option 4 Extension 204 e FINANCE Option 5 Extension 205 Please be aware that MD On Line provides additional valuable services that include a fully integrated cloud based PM EMR system medical transcription services revenue cycle management real time eligibility patient statements patient reminders electronic remittance advice ERAs and credit card processing If you have not already enrolled to experience the ease and value of these services we strongly urge you to give
16. 0pm to discuss updating any of your billing information especially if any account information has changed or if you wish to make changes to any of your payment option choices CREDIT CARD FORM Circle one Discover Visa Master Card American Express The undersigned hereby agrees and authorizes MD On Line Inc to keep my signature on file and to charge the bankcard account identified below for all amounts due on our MD On Line Inc account Account Exp Name on Card Security code 3 Digits on back 4 Digits on front for AMEX Credit Card s Billing Address City State Zip Telephone Fax Customer Practice Name Signature Date Name Tax ID SSN Please Print BANK DEBIT FORM hereby authorize MD On Line Inc to automatically debit my checking or savings account as noted each month understand that MD On Line reserves the right upon written notification to terminate my participation in this payment option My participation in this payment option is subject to MD On Line s approval CUSTOMER NAME TAX ID SSN Please Print Authorized Name Account Signature Date Type of Account please check one Please debit my please check one O Personal O Checking Account Enclose voided check O Commercial Business O Savings Account Complete the information below BANK ACCOUNT ABA Routing BANK NAME PHONE NUMBER 32 XMDOL N MD On Line Pri
17. 110 108 00 108 00 0 00 0 00 PR 3 10 00 98 00 PT Resp 10 00 CLAIM TOTALS 172 00 172 00 0 00 0 00 10 00 162 00 Adj to Totals PREV PD 0 00 INTEREST 0 00 LATE FILING CHARGE 0 00 NET 162 00 Patient Statements With MD On Line as your partner we can create the type of patient satisfaction that will enhance both your image and business operations With an easy to read breakdown of outstanding balances MD On Line s patient statements increase your patients ability to understand your bills thereby decreasing both patient phone calls and payment delays for your practice With state of the art address verification and correction capabilities MD On Line s patient statement solution accepts files from a wide range of practice management software and allows providers to view letters and statements online both prior to and post mailing For more information please contact your MD On Line account executive at 888 499 5465 ext 201 Credit Card Processing MD On Line has partnered with Payment Processing Consultants Inc PPC to offer providers a way to seamlessly process patient credit debit and flex spending medical card payments right from within MD On Line s secure Web portal and at a rate that s lower than your practice is currently paying With MD On Line s CoPay Plus Payment Program providers can quickly and easily settle outstanding balances or set up payment plans before patients even leave the office The premier credit card
18. 2325 Clearinghouse Trace 282138616630556 Payer OXFORD SINAI 06111 NETWORK IDXREQ RENDER NETWORK ID FOR PAYER TRANSACTING THE BUSINESS OF HEALTHCARE 21 Insurance Company Acceptance Report This report informs of claims that passed clearinghouse edits and were then sent to the insurance carrier where they were accepted You should contact the insurance carrier directly with questions about claims accepted at this level 24 Message 5605 Provider s Tax ID ct Insurance Acceptance Report Date of Service Doc ID E1135494 Patient Name Patient Account 001 365 0710008E JOHNSON 16889473 10032007 Tracking Number 6339682 Payer Trace 001 365 0710008E Clearinghouse Trace 281137904684556 Payer HIP NY 55247 CLAIM SENT TO PAYER 001 5193 0710008F ESPOSITO C 16906018 10012007 Tracking Number 6339682 Payer Trace 001 5193 0710008F Clearinghouse Trace 281137904685556 Payer HIP NY 55247 CLAIM SENT TO PAYER TRANSACTING THE BUSINESS OF HEALTHCARE Date 10 10407 Dollar Amount 180 00 170 00 22 Insurance Company Rejection Report This report informs of claims that pass clearinghouse edits and are then sent to the insurance carrier where they were rejected Rejections at this carrier level are policy level rejections directly from the insurance company You should contact the insurance carrier directly with questions about rejections at this level
19. 465 ext 202 and we will make every attempt to assist you Q What is LinkMail A LinkMail is MD On Line s internal system of communication to our customers When you connect with our system your messages are automatically downloaded right to your terminal You will be able to read print and or save these messages which can address anything from claim submission feedback to your monthly bill Q Will receive a report every time I submit claims A Yes This report is known as the Session Results a k a post transmission report It lists the claims that were submitted in each claim file transmission The report provides summary information on each claim and whether the claim was submitted electronically or if it will be printed to paper and mailed This report should 29 be treated as a receipt of what was transmitted and should be kept as a permanent record for reconciliation purposes Q How much does your software cost A We charge a one time startup fee In addition we also charge a monthly minimum fee for unlimited claims to the carriers listed on our participating payers list Since some practices can qualify for discount and sponsorship programs please call us for up to date pricing based upon your situation Q How can get more information A Call one of our Account Executives at 888 499 5465 ext 201 They will be happy to answer any additional questions you may have 30 Payment Options Info Sheet Each mon
20. Causing Rejection 18 Eligibility Rejection Report This report informs you of claims that do not pass eligibility checks MD On Line uses the data submitted on your claims to verify patient eligibility with the insurance carrier If your claims are rejected by the insurance carrier for eligibility reasons we will inform you on this report If you have questions about why a claim is rejected on the report you should contact the carrier directly Claims that pass eligibility checks are then forwarded to the clearinghouse and insurance carriers for processing It is your responsibility to review this report and to correct and re submit claims which appear on it Please be advised that not all insurance carriers presently participate in eligibility checking although more carriers are added to the list regularly 24 Message 5652 Provider s Eligibility Rejection Report Date 10 30 07 Tax ID Patient Name Date of Dollar boc ID 11111111 Service Amount 4044 07100296 JANE DOE 0000000001 110252007 10252007 52 00 Not eligible Inactive for service Claim number 119137432 15h Tracking number 6382575 Reason for Rejection TRANSACTING THE BUSINESS OF HEALTHCARE 19 Clearinghouse Acceptance Report This report informs you of claims that have been initially accepted at the clearinghouse level This level of editing checks for basic data such as a valid CPT or ICD 9 code valid dates of service et
21. actions you have already taken pertaining to that claim 2 M allows you to send an e mail to our support team 3 M if your resubmitted claim was rejected because the payer claimed it was beyond timely filing clicking on this icon will allow you to print out a pre filled letter to send to the carrier on your office letterhead 4 a if the insurance company claims it never received your claim for example or if you identified a discrepancy between the contracted rate and your actual reimbursement clicking on this icon will allow you to print out a pre filled appeals letter to send to the carrier on your office letterhead Patient Search To search for claims related to a particular patient simply log into your MD On Line account and select Patient Search from the Main Menu A last name or patient control number and a date range are required to perform a Patient Search You can choose to search by either the date of service or the date the claim was submitted to MD On Line NOTE This service is available to paying accounts ONLY To change to a paying account please contact our Finance Department at 888 499 5465 ext 205 NPI Entry Click on NPI Entry located on the top of the MD On Line provider Web Portal to view completed and pending NPIs associated with your MD On Line account This section will also display the EIN SSN for each provider listed and whether the NPI is a group or individual NPI Click any item in
22. al and noncommercial payers with the responses returned to the office in a user friendly printable format For more information please contact your MD On Line account executive at 888 499 5465 ext 201 Electronic Remittance Advice ERAs Electronic remittance advice ERAs are the electronic equivalent of an Explanation of Benefits EOB providing a detailed report on how your claims were adjudicated by the insurance carrier including how your claims were paid and or why they were denied Available in both machine and human readable formats your ERAs can be easily downloaded to auto post payments into existing practice management software saving the practice time while reducing data entry errors What s more MD On Line is capable of sending and receiving ERAs in either HIPAA 4010 or 5010 format and will automatically convert them to the format utilized by the provider s practice management software if necessary For more information on receiving ERAs please contact your MD On Line account executive at 888 499 5465 ext 201 AETNA 15 FARMINGTON AVENUE HARTFORD CT 06156 EXAMPLE PRACTICE NAME Provider 1111111100 555 MAIN AVE Date 07 08 2010 ANYTOWN NJ 07484 Check EFT 81012512512421 NAME DOE JOHN HIC W16523533 ACNT 105142121 ICN EEFASK8LX05100 ASG Y REND PROV SERY DATE POS NOS PROC MODS BILLED ALLOWED DEDUCT COINS GRPCD RC AMT PROV PD 1111111100 020210 1 97530 64 00 64 00 0 00 0 00 0 00 64 00 1111111100 020210 2 97
23. ber 6532217 Payer AETNA Finalized Payment 57 81 Finalized Ihe claim encounter has completed the adjudication cycle COMPLETED PAYMENT MADE ACCORDING TO PLAN PROVISIONS COMPLETED PAYMENT MADE ACCORDING TO PLAN PROVISIONS TRANSACTING THE BUSINESS OF HEALTHCARE 24 Basic Claim Status Report This Basic Claim Status report informs you of status changes on any claim you have submitted to an insurance carrier who participates in claim status note not all do As your claims move through the adjudication process a message will be sent back each time the status of the claim changes Rejections may occasionally be found on the report so be sure to read it carefully 24 Message 5605 Provider s Tax ID ct Insurance Company Rejections Date 1 1 07 Doc ID E06093139 Patient Name Date of PET i Service Amount Account 009 14344 SMITH M U2419353604 01092008 01092008 98 00 Tracking Number 6514219 Payer CIGNA 623080000 Acknowledgement Returned as unprocessable claim NO MEDICAL COVERAGE EFFECTIVE FOR DATE OF SERVICE NO MEDICAL COVERAGE EFFECTIVE FOR DATE OF SERVICE 005 16228 HUNT R U0126911104 01082008 01082008 289 02 Tracking Number 6514219 Payer CIGNA 623080000 Requests for additional Information General Requests PLEASE SEND ALLOWABLE PAID FROM PRIMARY COVERAGE PLEASE SEND ALLOWABLE PAID FROM PRIMARY COVERAGE DECINE TRANSACTING THE BUSINESS OF HEALTHCARE
24. c Because this is an initial edit only it is possible that claims can be accepted at this level and then rejected at subsequent levels check your Clearinghouse Rejection report for rejected claims Message 5633 Provider s i Tax ID ct Clearinghouse Acceptance Report Date 10 23 07 Date of Dollar Doc ID E1135494 Patient Name Service Amount Patient Account 4 D 01 111 1111111 0 ROBERT 168999 110162007 170 00 Tracking Number 6365999 Clearinghouse Trace 1111111111111111111111 Payer The Insurance Company CLAIM HAS BEEN FORWARDED TO PAYER FOR CONTINUED PROCESSING 55247 001 111 1111111 0 JONES R 081562603 110162007 1255 00 Tracking Number 6365999 Clearinghouse Trace 2222222222222222222 Payer The Insurance Company CLAIM HAS BEEN FORWARDED TO PAYER FOR CONTINUED PROCESSING 55247 DENT TRANSACTING THE BUSINESS OF HEALTHCARE 20 Clearinghouse Rejection Report This report informs of claims that have been rejected at any level in the clearinghouse Claims that appear on this report must be corrected by you and then re submitted Claims rejected at this level will NOT be forwarded on to the insurance carriers until corrected and re submitted 2 Message 5599 Provider s Tax ID ct Clearinghouse Rejections Date 10 10 07 Date of Dollar Doc ID E1135494 Patient Name Service Amount Account 001 398 071000JX SMITH M 6296866 110052007 1100 00 Tracking Number 634
25. ce called LinkMail another feature of your MD On Line product Q Will I receive an invoice each month if I use credit card or automatic debit A Yes We provide monthly statements of your account activity indicating your method of payment If you pay by credit card or automatic debit no action is necessary on your part Your monthly billing report will also include a service report outlining the claims you submit categorized by the insurance company the claims were sent to Q Can I pay in advance A Yes We offer customers the option of prepaying for commercial claim charges However customers using this option will continue to be billed monthly for any non commercial and or paper claim charges incurred Call us to discuss customized billing options Q When is MD On Line support available and how much does it cost 27 A Technical and Customer Support are available Monday Friday 8 30am to 6 00pm EST by calling 888 499 5465 All support services to MD On Line customers are free of charge Q need information about a specific transmission or claim What should do A You should contact our Customer Support Department 888 499 5465 ext 203 with a tracking number found on your session results report a k a post transmission report and they will assist you Please note that we are not a billing service and can only assist you in tracking your claims between your terminal and the carrier We cannot provide information on the
26. chive selected messages when selected Archive means that your message will be stored separately so that it doesn t show with your main messages This can be helpful when trying to reduce mailbox clutter NOTE Archiving a message does NOT delete it Archived messages may be viewed at any time by clicking the View Archived Messages link Session Report Each time you submit a batch of claims through MD On Line you will receive an itemized report in your LinkMail detailing the following e Total claims submitted electronically and the total dollar amount of these claims It will also list the insurance company payer ID patient control insured ID eligibility date of service current status and dollar amount of each claim e Total claims that need to be printed out to paper and total dollar amount of these claims Again it will list the insurance company payer ID patient control insured ID eligibility date of service current status and dollar amount of each claim e Session statistics e Raw data file a copy of the text file that was sent for that session This report will also give you a Session Tracking Number for each session It is highly recommended that you print this report out and save it This report is your proof that the claims were submitted NOTE If you choose to opt out of our Print amp Mail service this report also informs you whether or not you need to print out any claims For those cu
27. claims within that batch that cannot go electronically This is because the payer that the claim is intended to reach is not currently set up to receive claims electronically Most often MD On Line can print those claims and mail them hard copy directly to that specific payer A per claim fee applies to this service Q want to print and mail my non electronic claims myself How is that accomplished A MD On Line offers an option to opt out of the Print amp Mail service for those customers who would rather handle the process for paper claim submissions themselves This opt out is available to Print Image submitters only Once sorted and separated from the electronic claims in their claim batch their non electronic claims can be redirected back to you To opt out of our Print amp Mail service contact our billing department at 888 499 5465 ext 205 Q Do need to list the Payer ID number on my claim form A Print Image and NSF submitters do not need to include a payer ID Based upon the insurance company name and address listed on your HCFA form we match up the correct Payer ID numbers for you This saves you a lot of time and hassle as Insurance companies change their names and Payer ID numbers from time to time If you are submitting ANSI 837 files to MD On Line however Payer IDs are required Q I am not computer savvy Is your software difficult 26 A Our electronic claims submission solutions are extremely easy to use
28. each of these types of rejection reports can be located in the Sample Report Pack included in this WebLink Welcome Packet It is imperative that you read these reports and address the reasons for rejection in a timely manner Simply go back into your practice management system fix any rejections and re submit the claims If you feel that a claim was rejected in error or do not understand the reason for rejection please contact MD On Line Customer Support at 888 499 5465 ext 203 It is your responsibility to ensure that rejected claims are corrected and resubmitted NOTE MD On Line is responsible for the transmission of your data only We will not be able to answer questions on specific policy benefits and limitations We suggest you connect to MD On Line at least twice a week even if you have no claims to transmit You may have rejection reports waiting that pertain to previous claims submissions monthly billing invoices or other informative mail Claim Status You will automatically receive a message in your LinkMail inbox each time the status of your claim changes To view these messages you can login to your MD On Line account and select the View Messages option from the Main Menu and then search for any Claim Status messages If you know either the session tracking number or the range of dates in which the claim was submitted you can search for the status of a particular claim by clicking Session Results u
29. eege 10 AccoliniOrtentat ON EE 11 Payer Enrollment deter t e Ee eti be n ave ts 11 Elm RN 11 Printing Claims ec e Een etta ede qe ree BO ba TC tba Hates 11 VIEWING Ee E EE 11 ee E 12 Clearinghouse Acceptance Reports ssssessssccccccssesnensscesesecsessseneaaeassecseesesessseessecscseeeseaaeaesecsessneeeaaeaeseesceeees 12 REJOCCTON REPO A Ee EE e EE 13 AAA A ee 13 A IN 13 Usingthe Tools Keys tte A A A Ee Ee a 14 leisten seuss EE Eed EE RA A AAA AR ARA 14 NE EE EE ee 14 Institutional e a A ha ga wd a ARE VER i edi a AN REM e AA RR God 14 Sample REDOLE PACK daran O 16 Session Results Report Post Transmission Report Ab a 17 MD On Line Rejection RepOFt is cccccciscsnvaseacccccetvesneissicedecesacannadeiecdecssdaccnsedissdessthcectebabesdecssvacedecuh sdbesethecstebed Ee Een 18 EE EEN 19 Clearinghouse Acceptance ReDOFt ei ta deet ea a sb dead 20 Clearinghouse Rejection RebOFL oc te uo th tpe du ERA AAA E AA 21 Insurance Company Acceptance Report 22 Insurance Company Rejection Report 23 Advanced Claim Status Report sees ENEE 24 Basic Claim Status ReDOFU tea eR een eret teste eue tette tisse 25 Frequently Asked QUESTION Saa d idiot deat diese dena a du ela vet ev dues di e 26 Payment Options Info Sheet osi EHE EE 31 Bank Account Debit Credit Card Form 32 Print amp Mail Service Info and Opt Out Form 33 Refettal PROS TAN ad Ud dd T equa due dE 34 Products MD On Line currently offers two methods fo
30. here you can manage both submissions and rejections view both current and archived reports and view recent remittance You may also view any one of these items as well as eligibility by clicking on the appropriate item on the blue menu heading on the top of your screen To see the list of payers currently accepting institutional claims as well as recent payer changes and updates please reference the blue Recent Updates box located on the right hand side of your dashboard To view a 30 day bar graph of your submissions by payer please reference the blue Payer Graph box also located on the right hand side of your dashboard If you have any questions about the submission of your institutional claims please call MD On Line Customer Support at 888 499 5465 ext 203 15 amp MDOL MD On Line Sample Report Pack Session Results Post Transmission MD On Line Rejection Eligibility Rejection Clearinghouse Acceptance Clearinghouse Rejection Insurance Company Acceptance Insurance Company Rejection Claim Status 16 Session Results Report Post Transmission Report This report details the claims that you have transmitted to MD On Line The section titled Electronic Claims will be processed by MD On Line If you have not opted out of our Print amp Mail service MD On Line will fully process the claims in the Print Mail section The option to opt out of this service is available to Print Image submi
31. nder the Claims Transactions heading in the Main Menu Once the session in which the claim was submitted is located click on the correct Session Tracking Number highlighted in blue A summary of your claim submission session will then appear showing you the insurance company who the claim was routed to payer ID patient name patient control insured ID date of service balance due and eligibility in addition to the claim s current status NOTE In the Tools box located within your session report you will find helpful links to aid you with the following creating claim notes e mailing our support team submitting a timely filing letter and submitting an appeals letter Please see Using the Tools Key for more information about these options Claim Statistics To view your claim statistics log into your MD On Line account and select Payer Claim Statistics under the Claims Transactions heading in the Main Menu Simply select the month which you wish to view and MD On Line will provide you with relevant claim statistics including claim volume by status dollar amounts by status claim volume by payer and an overview of each payer including the number of claims submitted and the dollar amount 13 Using the Tools Key The Tools box located in your Session Results provides you with a variety of helpful features 1 E allows you to add notes to claims so you can remember what
32. nt amp Mail Service Info and Opt Out Form e MD On Line s software allows the seamless ability to print and mail your claims to most payers unable to accept them electronically at the rate of 0 47 per claim e This service provides for the automatic capture processing printing and mailing of your claims to those carriers unable to accept them electronically with a few exceptions e This service cannot process any claims for secondary payers Claims involving secondary insurance carriers cannot be printed at a remote location due to EOB attachment requirements If you have claims which have secondary carriers included in your transmission packets please contact Customer Support at 888 499 5465 ext 203 Adjustments may be required for your account e Certain claims such as some Medicaid and Medicare types cannot be sent via Print amp Mail due to special paper claim requirements by the carriers Contact Customer Support for specific payers to which this applies e If you do not wish to take advantage of this service please fax this form to 973 734 9910 to opt out of this feature e Your regular monthly bill will include the per claim charges for this Print amp Mail service e NOTE LINK1500 and 837 submitters may NOT opt out of Print amp Mail and MUST utilize the Print amp Mail service IMPORTANT NOTE You are solely responsible for the paper claim requirements of the payers to whom you submit claims MD On Line is
33. nthly basis However if your accounting department can only process payments for services by check we can accept checks as outlined in our Reserve Account policies Prepayment Option For those submitting participating claims we offer two discounted prepayment programs If you intend to pay by Credit Card or Bank Debit we offer discounts for 6 month or 12 month prepayment Please call our billing office for details at 888 499 5465 ext 205 Note If you intend to submit non participating and or Print amp Mail paper claims please see Reserve Account Reserve Account For those who prefer to pay by check for the submission of non participating and or Print amp Mail paper claims we require participation in our Reserve Account program This program creates a reserve account from which your monthly fees and charges are deducted each month Since most accounts that submit non participating and or Print amp Mail paper claims have a fluctuating balance each month no specific time period is associated with this account To establish this type of account mail your check to the MD On Line Finance Department in the amount noted This payment creates your reserve balance When your Reserve Account balance falls below a pre set level you will be sent a reminder note on your invoice to mail an additional payment to replenish your account Customer s Responsibility As your financial information changes i e credit card expires account
34. number changes etc please contact our office to keep your records updated If we are unable to obtain funds from the account information you have provided we will first contact your office with a reminder call After two attempts to obtain the correct information without a response your terminal will be deactivated and your access to our system will be suspended until your payment and or valid billing information is received Upon our receipt of payments due and or valid account information your account will be reactivated Reactivation charges may apply 31 i e d M D O Bank Account Debit Credit Card Form MD On Line MD On Line offers two automated payment options for charges associated with our services Please choose one by completing the appropriate section below and faxing to us at 973 734 9910 or mail to 6 Century Drive Parsippany NJ 07054 You may also pay by credit card or bank debit card using the Pay Now feature found on your MD On Line home page under Maintenance Our credit card option allows your monthly charges to be conveniently billed directly to your credit card account When this payment option is in effect your billing statements will indicate Credit Cara as your Usual Payment Method Alternately your monthly charges can be debited directly from your bank savings or checking account If you want debits via your savings account please obtain your bank s ABA Routing and your account number from your financial
35. ocess the data through our testing facilities to confirm compatibility NOTE While the HIPAA X12 Version 5010 became the new industry standard on January 1 2012 MDOL will continue to support your submission of ANSI 4010 files and convert the data for you If you are already sending in 5010 but the payer to which you are sending has not yet made the transition MDOL will automatically convert these claims back to 4010 for the time being to avoid rejection For a full list of payers who are 5010 ready please reference the Payer List tab on the MDOL website Helpful Hints What follows are helpful hints about using our WebLink software Remember if you have a question that is not answered here please contact us System Requirements for WebLink To utilize MD On Line s WebLink solution the office must have the following Pentium class PC 32MB RA Windows 95 98 2000 Me XP Vista or 7 with Internet Explorer 7 0 or greater with 128 bit encryption OR Mac OS X version 10 1 and higher with Safari version 3 1 or higher 56k connection or better For files we accept Print Image 837 and NSF formats Be sure to disable your pop up blocker if you have one installed Secondary Insurance Carriers Secondary claims may be transmitted to MD On Line by WebLink users in either a Print Image or an ANSI 837 format ANSI 837 claims will process automatically to the secondary carrier as these files have the secondary information b
36. processing solution used in more than 1500 medical practices today the PPC solution includes no start up fee low transaction rates no cancellation fees and a live knowledgeable customer support staff available 24 7 As an added bonus MD On Line is offering its providers both a no obligation cost savings comparison and 30 day trial of its CoPay Plus Payment Program To find out more about this invaluable opportunity please call 888 499 5465 ext 201 to speak with your MD On Line account executive Patient Reminders MD On Line is now offering its customers the opportunity to target patients who have not had specific wellness exams in the past 12 or 24 months By analyzing the provider s claims data MD On Line is able to identify overdue patients create the correspondence and mail letters to these patients on the provider s behalf From annual physicals to Pap smears mammograms and more MD On Line can help bring more healthy patients into your office To find out more about MD On Line s Patient Reminder service please visit the Patient Reminder Center which can be accessed from the main menu within your MD On Line Web portal or call us at 888 499 5465 ext 201 Claim File Requirements MD On Line can accept professional healthcare claim data in several formats This data is usually based on the CMS 1500 Health Insurance Claim Form and must be in a Print Image NSF or ANSI 837 5010A1 format in order to interface with our
37. r submitting electronic claims Both are used through the website the only requirement is Internet access This user manual is for MD On Line s WebLink product please contact MD On Line s sales department at 888 499 5465 ext 201 if you are interested in any one of the additional solutions described here WebLink WebLink is MD On Line s claims management solution for providers who utilize a practice management system PM Compatible with 837 Print Image and National Standard Format NSF file formats WebLink allows users to submit to and receive transactions from over 2 200 insurance companies simply by uploading files created by any practice management software to the secure MD On Line Web portal With individual or batch claim submission available 24 7 365 WebLink is the ideal solution for practices looking to further streamline their office workflow through the use of additional technology Requirements Pentium class PC 32MB RAM Windows 95 98 2000 Me XP Vista or 7 with Internet Explorer 7 0 or greater with 128 bit encryption OR Mac OS X version 10 1 and higher with Safari version 3 1 or higher 56k connection or better For files we accept print image 837 and NSF formats InSync PM EMR Optimize work flow increase productivity and capitalize on government incentives for achieving Meaningful Use with MD On Line s fully integrated easy to use cloud based practice management and electronic medical
38. redited to your account for each new customer referral you provide There is NO limit to the number of free months you can receive for the referrals you provide We would like to thank you in advance for your consideration of referring practices to MD On Line Remember Save Time Save Money Eliminate Paper MD On Line making health care transactions easy Note To qualify for our referral reward the referred office must actively use the services of MD On Line for at least 30 days MD On Line will waive your regular monthly minimum fee for one 1 month as a reward for your referral upon completion of referred office s 30 day use of any MD On Line claim processing product Practice Referral Their practice info The practice listed below is interested in receiving more information on MD On Line Products and Services Practice Name Contact Name Phone Best Time to Call Referring Practice Your practice info Practice Name Contact Name Phone Date of Referral If you wish to discuss our referral incentives in more detail please contact our Sales Department at 888 499 5465 ext MD On Line Inc 6 Century Drive Parsippany NJ 07054 Toll Free 888 499 5465 Fax 973 734 9910 Visit us on the web at www mdol com 34
39. stomers that decide to opt out of our Print amp Mail service MD On Line will not be responsible if you fail to print and mail claims that require submission by paper Be sure to fill out the Print amp Mail Opt Out Form at the end of this packet if you wish to opt out of this service Clearinghouse Acceptance Reports We will forward acceptance reports to you as we receive them via the View Messages button on the Main Menu These reports will be automatically downloaded to your terminal NOTE As your claims are processed through the clearinghouse they are subject to several levels of checks and edits The initial acceptance reports you receive will notify you that the claims have been received by the clearinghouse and have met the minimum quantitative standard to begin the process However the claims may still be rejected elsewhere in the process due to qualitative problems which will be reported to you in the standard rejection report 12 Rejection Reports We will forward rejection reports to your computer via our LinkMail electronic mail system These reports can be viewed by logging on to MD On Line and selecting View Messages from the Main Menu There are three types of rejection reports those issued by MD On Line those issued by the clearinghouse and those issued by the insurance company These reports will be automatically downloaded to your terminal after completion of a successful connection to the MD On Line server Examples of
40. th your office will receive an invoice from us regardless of the payment method you choose Your invoice will appear in your MD On Line LinkMail by the 15 of each month Please remember that the invoice you receive from MD On Line each month includes unlimited transactions for the submission of participating non participating and or Print amp Mail claims processed during the previous month In addition any additional charges that you may have incurred will also be included If you wish to pay for our services on a monthly basis please choose Option 1 or Option 2 below We also offer Option 3 for those who desire a discount option Be sure to fill out the attached Bank Account Debit Form if you wish to utilize either Option 1 or Option 2 1 Automatic Bank Account Debits Automatic debiting can occur from any financial institution s saving or checking account Charges are deducted from your account on a monthly basis for the amount noted as due on your monthly invoice 2 Credit Cards We accept Visa MasterCard or American Express You can choose to have your monthly balance due charged to your credit card To our Credit Card and Bank Debit Customers our discounted prepayment programs are also available for those who wish to prepay their account The amount of your discount is based upon the prepayment term selected 3 Prepayment Option amp Payment by Check Our standard policy does not allow us to accept checks for payment on a mo
41. them a try For more information regarding any of these useful services please contact your MD On Line Account Executive by calling 888 499 5465 Sincerely The MD On Line Team Please note The invoicing of our standard Monthly Minimum fee as outlined in our WebLink Link1500 Terms of Use Agreement begins on the day your office registers We encourage you to begin using the product immediately in order to take full advantage of the benefits our services have to offer Table of Contents ee te EE EE 4 Weblink E A A AA A DN eae A AA et 4 e eiert EE 4 Revenue Cycle Management csessccscccecssessessscecececsssssensaaeaesececsseenesaasesesecssnssessaaeaesececsseeseasaasceeecssaeseaasaeseeseesenea 4 Medical TEST mE 5 Real Time e LEE 5 Electronic Remittance ee ee EE AAA 5 Patient Statements 2 A a ias 6 Credit Card Processing iov e A me e e oer EE REGIE EH 6 Patient Reminders see tl aO EA t X RE EAR RES RUM AAA Y oe UA X HO ne EUR EM SE ha ONL 6 Claim File RequiFenielils naa Ati 8 Ee DPA A Ref odit a neuve ve tds en shea dde Es rere RR Rn LS cedro indie Doe ctu E e 9 System Requirements for WebLinK iuuuus sees esses eese enean RE EE anna nasse essa sa rad nass sss essa sata assa E sessi rada ass 9 Secondary Insurance EE 9 FV GUINIOG PERRET AE E H 9 National Provider Identifier NPI A ETA SATA AAA 9 EG Eege ct haute wa ence EE AA AA AS AAA AAA AAA 9 System Changes iia EA AA e t IER EE
42. tion with our Network Solutions Site Seal provides the highest level of confidence in the protection for your data transmissions Either way you can be assured that your claims are always handled in the strictest confidence using the latest security features Q How often can submit claims and during what hours A You may submit as often as you would like Our network is available to receive claims 24 hours a day 7 days a week Q What types of claims can submit using your LINK services A We presently accept the CMS 1500 Professional Health Care claim form in a Print Image text file NSF or ANSI 837 5010A1 format We also accept Institutional claims in the 8371 5010A1 format Q How much do upgrades cost and how do get them A As a MD On Line customer version upgrades are automatically downloaded to your computer without any action on your part and at no charge Information about new products and enhancements that work in conjunction with our claim software will be sent to you via LinkMail for your consideration Q I know need to change or add information to my CMS 1500 and cannot manipulate my software to make the changes myself What should do A The software vendor that supplied your practice management software is often the best source of information and support in making these types of changes Q What if support is no longer available from my PMS vendor A Contact our Technical Support Department at 888 499 5
43. tive payer s A full list of MD On Line s payers and whether or not they require enrollment can be found on our website under the tab named Payer List Payers whose names appear in RED require you to enroll with them before you can submit claims to them electronically To register for a payer that requires enrollment please complete the online forms or contact MD On Line s Payer Enrollment Department at 888 499 5465 ext 204 When you receive written confirmation that your registration has been completed and approved by the payer s please contact MD On Line Payer Enrollment Department at 888 499 5465 ext 204 for further instructions before submitting electronically Please be prepared to provide a hardcopy of your approval letter s to MD On Line These letters will serve as an authorization for MD On Line to process your claims MD On Line charges a Payer Registration Assistance Processing Fee to establish your non commercial account This fee covers administrative costs associated with establishing your account with the applicable carriers This completed form MUST be returned to MD On Line s Payer Enrollment Department prior to any approvals being granted If you have any other questions relating to electronic transmissions of Medicare Medicaid or BC BS claims please contact MD On line Customer Support NOTE All Non Commercial claims for payers which require registration will be sent to paper if your registration is not
44. tters ONLY if your office opts out of our Print amp Mail service you will be responsible for printing and mailing these claims For claims listed in the Unprocessed Claims section call our Customer Support department to determine the reason why they were unable to be processed The right hand column contains useful tools for you to manage your claims You may change the sort order by choosing from the Sort by drop down You may view the claims submitted under any provider s tax ID by clicking on the blue tax ID link for each one or you may choose show all Date 4 18 2011 Session Tracking Number 10350537 Tools Key Totals E Claim Notes e 30 claims were submitted representing 3 495 80 Email Our Support Team 6 claims are ready to be printed by you and o Proof Of Filing Letter represent 430 00 ab amp ppeals Letter Links A View Session Statistics Sort By Order Submitted v View Raw Data File Click on the underlined tax ID to show details for that provider 000012121 Unknown Show All Report for BBART26TEST Electronic Claims Information INSURANCE ROUTED PAYER PATIENT PATIENT INSURED DATE OF BALANCE CURRENT COMPANY TO ID NAME CTL ID sYC pue EHIGIBILITY srarus TOOLS ANTHEM BLUE CROSS CHIAR s ANTHEM BCBS BLUE SB923 CLAIRE ILS7205 133628000 1 20 2004 50 00 N A Accepted EL ie ID SHIELD METROPOLITAN SANDT eier METLIFE 87726 Wicholas 1157103 10672856203 1 22 2004
45. uilt in Print Image claims will produce a form to key in additional information from the EOB ERA the form will then be sent to the secondary insurance payer To enable your account to send secondary claims in a Print Image format please contact Technical Support at 888 499 5465 option 2 If you already submit your primary claims in an ANSI 837 format you can send secondary claims in an ANSI 837 format without contacting technical support Training We have attempted to design our products to be simple to use and we provide several informational formats to assist you with understanding the process First we would like to direct you to our FAQ pages included in this packet for those questions most frequently asked when starting with us For the first few sessions if your billing person has any questions you may call 888 499 5465 For WebLink assistance please ask for ext 202 National Provider Identifier NPI NPI numbers are issued to each provider as well as to each group of providers To apply for your NPI number go to https nppes cms hhs gov NPPES Welcome do NOTE Most carriers require you to register your NPI with them Please contact the carrier directly to learn more about their requirements Variant Tables You will occasionally receive dialogue boxes asking for clarification of information when you submit claims for a new doctor or to an insurance company for the first time These messages will help us to update our
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