Billing Errors: Charge Creation Errors and Resolutions
These errors are generated when the nightly billing job runs and attempts to create charges from Services. Changes can be made to the Services/Plans and the nightly billing job will […]
Billing Errors: Service Completion Errors and Resolutions
These errors are generated when the nightly billing job runs and attempts to complete Services. Changes can be made to the Services and the nightly billing job will attempt to […]
How to Import 835 Files
To Import an 835 file for processing: Navigate to the Payments/Adjustments screen. Select the Electronic Remittance icon. The Electronic Remittance window opens. Select the Import New File button. The Import File […]
How to Manually Add the PCCN
There may be a special circumstance where the user will need to manually add the PCCN number to a charge. If this happens, follow the steps below to add the […]
How to Process a Charge Override
There may be a need to change a billing code cross reference to change the scope of a service on a claim. For example, a lockout override, where the service […]
Processing Denials and Rebills
SmartCare is able to handle easily and efficiently the management of denials, including replacement and void claims, and with rebills. Charges can be marked for all three of these by […]
Additional Information on Claims Error Corrections
Depending on where a charge is at in its lifecycle, and what needs to be corrected, error corrections can be made in various areas of the system. The further along […]
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 […]