PM 2004 & CPS 2006 - How do I enter the frequency code and TCN code for our FQHC NH Medicaid carrier?
Background...
I need to send replacement claims to our FQHC NH Medicaid carrier. The carrier told me to change the frequency code from 1 (original claim) to 7 (replacement) in the CLM segment (05) and enter their TCN (transaction control number) into the REF segment (02). A qualifier for it is not needed. Where in PM I do enter this data so that it will pull the correct information when I re-transmit the claims?
Answer...
To change the frequency code in an institutional claim:
Open the visit and select the Visit Filing 1 tab. The frequency code is the last digit in the Type of Bill field.
To change the frequency code in a professional claim:
- Open the visit and select the Visit Filing 1 tab.
- Enter the frequency code in the Resubmission Code field.
To enter the TCN code:
- Select the Visit Info tab.
- Under Insurance Carrier Information, select the carrier and click Modify. The Modify Authorization/Referral window displays.
- Enter the TCN code in the ICN field.
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