Print Option provide the capability for users to print, copy, or show a preview of how the claim will print. Follow the steps below print your claim, view a preview or print a copy.
Select Claim > Claim.
Use the Search field to search for your claim.
Place a check in the “Show exact matches only” box to search for exact matches or “Show unpaid claims only” to show claims that may need follow-up.
Open the claim.
Click the Print button and choose one of the following actions:
Save and Print Claim: Prints the claim from your desired printer.
Make sure the appropriate claim form(s) are loaded in the printer before selecting this option and that scale to fit is unchecked and set to 100!
Show Preview: View what the claim will look like once printed on the form.
Copy: Prints a copy of the claim for your record or to provide to a patient.
Save and Print With Form: Downloads a pdf copy of the claim on the official CMS-1500 or UB-04 claim form.
A printed copy of this CMS-1500 form should not be used for the submission of claims. They must be submitted in the official form since the copy will not accurately replicate the scale and OCR (in Flint OCR Red, J6983) color of the form as directed by the CMS and the payers. Each Print will count as a 1/2 claim transaction.
Claim Transaction History: Prints the transaction history of the claim.
EOB: Prints the EOB based on the claims ERA Report.
Open Negotiations Form: Prints an Open Negotiation Form (OMB 1210-0136) directly from the claim screen so that providers that are out-of-network can enter open negotiations with the insurance company.
Click Save. Otherwise, click Close.