Printing Claims
Answered
I have a client for whom I need to submit claim forms by mail. I have had great difficulty printing the downloaded information (i.e. form fields only) so that it lines up properly on the CMS form. I have noticed that everything lines up differently each time I download it and changing printers hasn't solved the problem. Does anyone have any advice? Thanks!
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I also have one client for whom I have to submit paper claims. I create the claim via SP, then Print it directly. I asked the insurance company before doing this if they needed the Red claim form or if black/white was fine. They answered that black/white is fine.
So if you haven't already double-checked with the insurance company on what they need, then do ask about the actual red CMS-1500 vs black/white. You may not be needed to go to so much trouble.Otherwise, I don't know
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My first attempt was to submit the claim not on the official form, but this was rejected by the insurance company. I appreciate the suggestion.
Gillian, I did un-check this box but it printed in the same way: the x's just miss the boxes and some of the form is not aligned correctly. For example, the sections on the top of the form (except the boxes that need x's) are filled in properly but the lettering in bottom third of the form (from the dates of service and below) is slightly above where it should be. My NPI is barely in its box and my phone number misses the mark entirely.
I have resorted to printing the form field form, placing it on the printer glass and slowly shifting it around until it prints so that the lettering and x's fill their respective boxes. Often an upper or lower half of the form will be acceptable but the other half isn't.
One last thought: if I could electronically submit an attachment with the claim form to the insurance company I wouldn't need to be printing the form at all.
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I was never able to solve this problem. The insurance company required an authentic (i.e. red) claim forms and I regularly struggled in printing them, regardless of printer or using suggestions by SP. I managed by shifting the form field form, as noted in my previous comment, until I could find an acceptable one to submit. This was time consuming, difficult, and frustrating.
I later learned from a colleague that they submitted hand printed claim forms to an insurance company with no problem. I no longer have any clients who require printed secondary claim forms so I never looked into this option. If SP cannot fix this problem, I would recommend contacting the insurance company to see if you can hand write the claim or if they will accept the black and white printed version. Good luck!
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Tracie,
I’ve submit claims on 2 different occasions but both were rejected due to formatting issues. The first time, I printed from my printer in Red ink but it did not have the backing (which) we should be able to print as well from SP. I the. Resubmitted it and apparently the alignment was off. This is extremely frustrating. Thankfully That was my only client with secondary insurance and she successfully terminated. Now I just have to work on getting all of her claims from April until now reimbursed. -
Hi Everyone - If you're getting claim rejections or denials, the best way to find a resolution is by getting in touch with our Insurance Team so they can investigate further. You can reach them by submitting a Help Request. Thanks!
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