Use this page to view and/or enter a service line to a claim.
Tip: Information displayed on this page is read-only and cannot be changed. You can enter an Auth # and press the Enter key on your keyboard to display a specific authorization in the Claim Detail table. If necessary, click the Search Authorization button to perform a search on the Search Authorizations page. In addition, you can enter a Patient Acct. and press the Enter key on your keyboard to view service line claims by patient.
In the columns of the Claim Detail table, view the following information for each service line that matches your search criteria:
Detail provides a link to the line item's detail page.
Line displays the item number for the service line.
Date displays the date on which the service line for the service line was entered.
Place of Service displays the location of service for the service line.
EI Code displays the authorized EI Code for the service line.
CPT displays the coordinating CPT code for the service line.
ICD9 displays the coordinating ICD9 code for the service line.
Units displays the number of units for which the provider is billing. 1 unit equals 15 minutes of service time.
Charges displays the charge for the service line.
Disallowed displays the difference between the amount charged and the amount allowed for the service line and the calculated units.
Denied displays the amount charged for a denied service line.
Reason displays the reason that the service line was denied.
Delete provides a link that allows you to delete the service line.
Claim Total Charges displays the total dollar amount of all service line items on the claim.
Click the following button(s) as necessary:
Click Enter Service Line to enter a service line to the claim. The Claim - Service Line Item Information page displays when clicked.
Click Reset to clear any unsaved changes and restore the previously displayed information.
Click Back to return to the previous page.
Click Check Claim to run a check on the claim before submitting it to the database.
Click Submit to submit the claim to the database.
Note: You can click the tabs along the top of the page to view and/or enter other items for the claim.
Click the following link(s) to see how to complete a task step-by-step: