How to Suppress the Attending License Number Segment
This document will walk through adding a Claim Format configuration into SmartCare to suppress the Attending Provider’s license number from appearing in the REF segment in Loop 2310A in the […]
How to Bill for Residential Bed Day Programs
This article will walk through the configuration needed to send the Rendering Provider as an Organization for Residential Bed Day Programs. Click the Search icon. Type Billing Claim into the […]
How to Setup the 837 to Default the D8 Format for Crisis Stabilization Procedures
This article will walk through creating a Claim Format configuration to always send the D8 qualifier in the Loop 2400, segment DTP*472 for Crisis Stabilization procedures since the claim will […]
Agency Table
The Agency table in SmartCare contains identifying information for the billing entity (the County). The important columns for the claims generation process are: The Agency Table Column Name Description 837 […]
Claim Format Configuration Details
There are base claim formats that are included in SmartCare. Claim formats are setup against each billable Plan in SmartCare. Plans such as Medi-Cal have specific logic built in, to […]
Plan Setup – 837i and 837p
Plans are the insurance plans and payers who are billed to pay for the clients’ services in SmartCare. The plan contains information necessary for the 837 claim file creation. Within […]