Steps

From Billing Manager:

1. Click RAP or EOE, depending on the type of claim you wish to correct or cancel, then select Rejected / Cancelled from the drop-down list.
2. Filter by branch, payer, and/or search, as desired.
3. Select the type of claim you wish to correct.
4. Select one or more claims to be corrected.
5. Click the Correct button at the bottom of the page.
6. Click the Yes button at the confirmation prompt.
   A confirmation message confirms the claims were moved back to the Pending Approval Tab and are available for edits.
    Rejected and cancelled RAPs appear with a 322 TOB.
    Rejected and cancelled EOEs appear with a 329 TOB.
7. Click into the Pending Approval tab.
   If you are needing to correct a rejected claim, click into the claim worksheet and click Refresh to sync any episode or patient information changes.
    The refresh option is not available for cancellation (328) claims.
8. Select the claim(s), then click the Claim Actions button at the bottom of the page and select one of the following:
   • Click Send Electronically if your agency is linked with WellSky™'s submitter ID for electronic claims submission
   • Click Send Manually if your agency is not linked with WellSky™'s submitter ID and you will be manually providing the payer with the EDI file.

Results

• The claim is submitted electronically to the selected payer.
• The EDI claim file is available for download for manual submission
• Sent Electronically is added to the claim's Work Log.
• The claim(s) is moved to the Pending Payment tab.
• The claim status is updated to Pending Payment.