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The eClaims ability is divided up into 3 panes. The area along the top contains 7 different tabs listing different claim statuses. Your claims will be listed under the tab corresponding to the appropriate status. We refer to this section as the Claims table
Claims Table
The Claims Table displays all eClaims within the selected bin that meet the selected filters. Within this panel the user may select a single claim or a group of claims by clicking a claim, or clicking and dragging the cursor, or hold <Shift> and click to select a block of consecutive claims.
Hold <Command> to select multiple claims that are not consecutive.
When a group of claims is selected within the Ready Bin, the user is able to click the Send button. This will send only the claims that are selected. The user can also manually move claims from one bin to another, or click the Rebuild button to update information on all of the selected claims.
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When you have a claim selected in the Claims Table, the area near the bottom left will display the claim details, listing all information on the eClaim. This is the Claims Details Panel.
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If no claim is selected, the Details Panel and the Status Panel will be blank.
At the very top of the view, you’ll see the Send and Rebuild buttons. These are only available when you’re on the Ready tab. With any other tab selected, the Send button will be greyed out.
If the Send button is pressed from the Ready Bin, with no eClaims selected, all claims that are viewable in the Ready Bin will be generated into a .CLM file, also known as a Claim File or a Batch File. A .CLM file contains all individual claims, gathered into a single batch. If the template is for a partner clearinghouse, the eClaims will also be transmitted to the clearinghouse when the Send button is pressed.
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You can check what our integrated Clearinghouses support in the Clearinghouses section of this article here: https://macpractice.atlassian.net/wiki/spaces/MPHelpDesk/pages/74645542/eClaims+Ability#ClearinghousesAbility+-+Overview#Clearinghouses-that-integrate-with-MacPractice
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Claims that are in the Archived Bin will not be parsed when entering the eClaims Ability. They will only be parsed when the Archived Tab is selected within the eClaims Ability. Claims in all other bins will be parsed upon entering the eClaims Ability.
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Select a claim in the upper pane to edit the claim or review the claim details. With a claim selected, the bottom left hand area will show you the current information listed on the claim, including the provider, patient, primary, and procedure information, among others. This area should not generally be used to edit the claim information, because it does not fix the source of the problem.
MacPractice recommends making the change in the patient's record, and simply fetching the updated claim information in the eClaim itself by clicking the Rebuild button. Utilizing this method will fix the source of the problem, so that it does not occur again. If you make the change in the claim data in the eClaims ability, it will only temporarily fix the issue on the selected claim. Rebuilding the claim at any point will remove any data you have manually entered into the claim details.
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