After receiving the electronic reconciliation report from Medicare Claims Entry (MCE), the data is processed in the CHR. The CHR processes the remittance files and updates the bills in the CHR.
📌Note: When a claim is rejected at the reconciliation step, the claim cannot be resubmitted and you must create a new claim. To save time, you can clone past billing items.
In an unsigned encounter, click the clock icon next to the +Insured Billing.
From the patient chart, click Start/Open > Insured Billing > +New Payment, click the clock icon to the right of +Add Fee Item.
You can manage and reconcile your claims that have been processed by New Brunswick Medicare from the Billing dashboard.
Here, you can filter your clinic's list of bills to display:
Attention Required bills (bills that are rejected, partially paid or are flagged by the CHR with errors)
Submitted bills that were sent a while back and not yet received a response from New Brunswick Medicare
Cancelled bills
Adjusted bills
Completed bills (bills that are paid in full)
From this list, you can edit and resubmit a bill or update a bill's status.
📌 Note: You can export billing data from the Billing dashboard for reporting purposes or to transfer the data into another application. Refer to Exporting billing reports from the Billing dashboard.
Steps:
From the main toolbar, click Billing. The Billing dashboard opens with a list of bills created today.
Filter the list to display the bills you want to view or manage.
At the top of the window, click the white panel and set the following filters
a. Insurer: New Brunswick Medicare
b. Service Date: Set the service date range for which you want to view bills for.
💡 Tip: To filter bills by paid date, in the Search By list, select Paid Date.
c. Billing Practitioner: Select the providers for which you want to view bills for.
d. Location: If your clinic has multiple locations, select the locations for which you want to view bills for.
3. Depending on the bills you want to view or manage, use the following table to decide which status to select:
To view or manage... | Apply the following status |
Refused (rejected) claims, partially paid and claims flagged with errors by the CHR | Attention Required Refer to Managing refused claims for more information. |
Submitted claims (claims that have not yet received a response from New Brunswick Medicare) | Submitted
⚠️ Important: Make sure no bills have a status of Submitted for longer than 90 days.
|
Cancelled claims (claims considered as never paid) | Cancelled |
Adjusted claims (claims that have been returned and overpaid or underpaid).
| Adjusted
📌 Note: Claims with an Adjusted status cannot be edited, other than changing the status to Completed. |
Fully paid claims (claims that have been processed and paid in full) | Completed
|
💡 Tip: To see transaction details of claims submitted to New Brunswick Medicare and claims returned from New Brunswick Medicare, click a bill and at the top-right corner of every billing item, click the information icon.
Updated August 23, 2024