Set Up Claim Settings: Defaults, Facilities, and Providers
Get ready to bill clients by entering your Claim Defaults Settings in PracticeQ!
Get started by clicking Lists → Claims → Claims Settings.
Defaults:
- You will complete this information if your practice uses a group NPI to submit claims for all Practitioners.
- If you do not complete these fields, claims will populate the information entered in More → Account → Clinical for the billing provider.
- Default Service Facility - enter this only if you have one office location or if you perform most services at a single location. Otherwise, we recommend you keep it on Leave Empty.
- Paid Amount (box 29) - this is typically not required by the payer. When this is enabled, PracticeQ will populate box 29 with the copayment amount. After a claim is created, you can still edit this field.
- The Pay To Address section only needs to be completed if insurance checks need to be mailed to a location other than the office address.
- Click Save Changes after making any edits.
Facilities:
- The information entered here will pull in Box 32 of the CMS 1500 claim form to indicate where the service was provided.
- The facility that auto-populates in a claim can be edited after the claim is generated.
- Click Edit to make changes if desired.
- You have the option to tie a facility to a location if you wish.
Providers:
- Edit the Billing Provider information here
- This is a good option if you were not able to enter the information in More → Account → Clinical.
- If a claim is rejected, check here for possible errors or omissions.