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.

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