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Creating batch claims

With SimplePractice, you can auto-generate multiple claims at the same time. 

In this article:

Note: The Unbilled Sessions tab will list all clients whose billing type for a session is set to Insurance pay and is not included on a claim.


How to create batch claims

  1. From the Calendar homepage, go to Billing > Insurance.
  2. On the Unbilled Sessions page, you’ll see a list of all billable insurance sessions, that have not been included on a CMS 1500 (HCFA) form. You can read more about how to check for unbilled sessions here: Session Billing Status Report: Finding unpaid sessions.
  3. Under the Sessions column, you will find the number of unbilled insurance sessions a client has.
  4. Click on the + symbol to view the session date, CPT code, and billed amount. You can include up to six sessions on a claim.
  5. Click Create Claims or Create & Submit Claims to create a batch of claims for all the client's listed on this page.
    • Clicking on the Create Claims button will create claims for all sessions on this page, but will not submit the claims. When a claim is created, the session(s) will be removed from the Unbilled Sessions list. All created claims will be found under the Claims tab on the Insurance page and the Client’s Billing page.
    • Clicking the Create & Submit Claims button will create and submit claims to the insurance payer for all sessions under the Unbilled Sessions tab.

  6. From the Claims tab, you will see the newly created claims listed at the top of your claims list, as shown below.  
  7. Review, edit and file these batch claims just as you would any other claim. You can read more about filing claims here: How to file a claim.

FYI: If one of your client's has more than 6 unbilled sessions (the maximum amount allowed on a CMS claim form), SimplePractice will generate multiple CMS claim forms to accommodate all of the billable sessions.


When a batch claim is not created

Sometimes claims won't be generated for an individual client when you click the Create Claims button. When this happens, it means that SimplePractice does not have all the required client information to auto-populate a claim form for that client. If you see an orange exclamation point next to the client’s name, this indicates that there’s missing information that the insurance payer requires on a CMS 1500 (HCFA) form.

To see what information is missing and to be taken to the Client Info page to add the required information, follow these steps:

1. Click on the orange exclamation point next to the client's name to see what information is missing.


2. Clicking Add Missing Info will take you to the Client Info page to update this information for the client.

Note: You can read more about the minimum fields required to create a claim and about missing information when batch billing in these guides: What information do I need from the client to file a claim? and Missing information when batch billing.


How do I remove sessions from the Unbilled Sessions list

If you’ve filed claims outside of SimplePractice, these sessions will still appear on the Unbilled Sessions list because they are set to Insurance pay. You can remove the sessions from this list by creating a claim. You don’t need to submit the created claim since you already have.

To remove insurance pay sessions from the Unbilled Sessions list:

  1. Go to the client’s Billing page.
  2. Use the date range window to isolate the sessions you'd like to remove from the Unbilled Sessions list.
  3. Click +Create, select Claim/CMS1500. You do not need to submit the claim here because you’ve already submitted the claim to the payer outside of SimplePractice.

 

Now that the sessions have been included on a claim, you should no longer see these on the Unbilled Sessions list. This is because the software now recognizes that these sessions have been put on a CMS claim form for billing. 

 

 

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