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 […]
About Configuring the 837
Throughout SmartCare many fields and configurations come together to create all the data needed for 837p and 837i claim files. This section goes over some of the configurable areas in […]
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 â 837i and 837p
Plans are the insurance plans and payers who are billed to pay for the clientsâ services in SmartCare. The plan contains information necessary for the 837 claim file creation. Within […]
Add-on Codes Overview
Add-on codes are services performed in addition to a âprimaryâ or âparentâ procedure/service. When recording services, SmartCare handles add-on codes in two ways. The first requires the end user to […]