The setup steps involved regarding submitting medical claims are:
o Setup medical procedure codes – click “Setup” and choose the “Procedure Codes” and “Procedure Codes” options from the drop-down box
o Setup ICD codes – click “Setup” and choose the “Procedure Codes” and “ICD Codes” options from the drop-down box
o Setup modifer codes – click “Setup” and choose the “Procedure Codes” and “Modifier Codes” options from the drop-down box
o Setup place of service codes – click “Setup” and choose the “Procedure Codes” and “Place of Service Codes” options from the drop-down box
o Setup type of service codes – click “Setup” and choose the “Procedure Codes” and “Type of Service Codes” options from the drop-down box
o Setup the association between the CDT (dental) procedure codes and the CPT (medical) codes – click “Setup” and choose the “Procedure Codes” and “CDT x CPT CrossCoder” options from the drop-down box
o Setup the association between the CPT (medical) codes and ICD (diagnostic) codes – click “Setup” and choose the “Procedure Codes” and “CPT x ICD CrossCoder” options from the drop-down box
The office default/UCR fee schedule will need to be updated to reflect a charge for the medical codes.
Medical insurance carriers will need to be setup and attached to a medical insurance plan. The medical insurance plan will need to be setup and attached to the patient before an insurance claim can be made for procedures performed.
NOTE: Medical claims may be sent electronically only if the office requests activation via a Help Ticket. The medical e-claim activation process will talk approximately one (1) week.