Billing FAQ

Below are some of your common billing questions, answered:

Can I submit claims outside of PracticeQ (not through Office Ally or TriZetto)?

• Yes! Generate your claim as usual, then open the Action menu at the bottom of the claim. Select Generate EDI File. 
• This will create a digital claim for submission.

Can I use two NPIs for a single practitioners or a Group NPI?

• PracticeQ supports only one NPI per practitioner, and only one Group NPI per entire account.
• If your practice edits the billing area on the claim manually to account for additional NPIs, PracticeQ cannot guarantee that the claim submitted to the Clearinghouse will reflect your changes. 
• If your edited claims are not submitting the way you wish, reach out to your Clearinghouse to discuss Inline Edits; these are changes that your Clearinghouse can make to your information after your claims are submitted. 

I am the admin on the account. Why doesn't the billing provider dropdown in claims automatically show "Individual?"

• If you are the admin and the sole practitioner and you have selected the Force Rendering Provider NPI on claim option in Lists → Claims → Claim Settings → Payers, then claims will still default to the organization's information.
• The solution is to split your account by creating an Admin-Only and a practitioner account for the admin.
• Once you make this adjustment, the Billing Provider field in claims will automatically update to show Individual.

Why is the Insurance Payer ID not populating on my claims?

• Read this article for guidance: Why is the Insurance Payer ID Not Pulling on Claims?

What should I do if an Insurance Payer does not support electronic claims?

• Reach out to the payer and ask how they would like you to submit claims.
• If necessary, you can use Option 2 in the article Submit a Claim Outside of PracticeQ to create a PDF claim document.

Can I bill a client's secondary insurance?

• PracticeQ does not process secondary insurance claims.
• You may enter secondary insurance information on claims in certain situations; read this article to learn more: Add Secondary Insurance to Claims.
• If you receive payments from secondary insurance, enter them in PracticeQ using this article: Manually Add Additional Insurance Payments.

Can I process virtual credit card payments from insurance payers?

• You cannot process VCCs on client accounts via their invoices, as they reflect payments on claims, not clients. 

Does PracticeQ process Dental claims?

• No. PracticeQ's claim file is 837p. The "p" stands for "professional." Dental claims use ADA.

Does PracticeQ bill for drug codes?

• No. PracticeQ's claim module does not have the ability to bill for procedure drug codes.

Do denial codes show in PracticeQ?

• PracticeQ receives information from Office Ally and TriZetto when a claim is rejected or denied, but that information may be limited. 
• When claims are rejected or denied and the reasoning is unclear, PracticeQ Support recommends reaching out to the Clearinghouse or accessing the Clearinghouse portal to obtain more information.

What if my payer isn't listed in the Payers tab?

• If you cannot find an Insurance Payer in the Payers tab, contact PracticeQ Support at hello@intakeq.com.

What if my practitioner cannot bill for themselves? 

• Click Lists → Claims → Claims Settings → Payers.
• Select the Payer and click Add Supervisor Relationship.
• Enter the Supervisor and Supervisee names.
• Learn more about supervisor relationships here: Set Up Claim Settings: Payers.

What if I need to bill under myself and not my group for a certain payer?

• Click Lists → Claims → Claims Settings → Payers.
• Select the Payer and check the box labeled Override Group NPI (Box 33) with Rendering Provider.
• Click Save.

Can my provider add their signature to Box 31?

• No. The system will add Signature on File to Box 31.
• The provider's actual signature is not needed and will not be in the EDI file (electronic claim file).