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#42159 - 03/07/12 06:16 PM Referring dr missing (medicare claims)
DrBernardStaff Offline

Registered: 07/15/10
Posts: 42
Loc: Belvidere, NJ
We are using office ally to up load our claims. We finally have our medicare straightened out and the claims are getting to medicare. Now I have a problem with denials for referring dr. We do our own blood collections in the office, ekg, etc. The referring dr is the dr in our office. My old billing system, I would just fill in the dr here automatically when entering each visit. How do I make each visit show the referring as the dr here without having to add it to each medicare patients profile? I want to set this as a default.


#45974 - 06/12/12 11:38 PM Re: Referring dr missing (medicare claims) [Re: DrBernardStaff]
ynzynz Offline

Registered: 10/27/05
Posts: 1
Loc: Annandale, VA
Thank you for your interesting post. I have recently started to use OA for submission of claims and have run into multitude of problems setting up the medicare carrier. The default settings of AC are causing some issues and I am also very interested in the ability to change those "default" settings. My wife is the office manager and she has utilized PC ACE Pro 32 for medicare submissions and now want to try using OA as it seems to work well for the other third party carriers.
However, even after setting up the EDI submitter ID for OA the exported file seems to have many field mismatches due to the 'default' settings. One of the AC techs suggested using the AC preferred 1500 format. I tried and the submission was rejected....

I think your post was very interesting and deserves much attention and I would welcome the help of the many users to make AC more user friendly.

Thank you.

Peter D. Kim


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