Documents Attached to Claim Submitted?
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I apologize if this is a duplicate post. I am figuring out SP how to file insurance claims. How do I verify what other documentations are submitted when filing insurance claims through SP? We usually mail our claims together with supporting documents required by the insurance. If additional documents are submitted with the insurance claim, how can I add another document that is scanned/uploaded to the client's profile to be submitted as well?
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Hi Jamie, yes, if additional documentation is required to be attached to your claims, I'd recommend mailing the claims in. If you're enrolled in Payment Reports with SimplePractice, you'll be notified via SimplePractice when the claims have been paid, and how much the payment amount is. You'll be paid through the same means that the insurance payer typically pays you - usually via check or, if you've enrolled in it through the insurance payer, EFT. Let me know if you have any additional questions about this, or anything else SimplePractice. I'm here to help.
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I am fairly new to doing my own claims. But, my situation is that a insurance company is requiring some specific documentation with each claim. I am billing a medicaid provider for individuals that have both Medicare and Medicaid. I am not a Medicare provider so with each claim I am required to send a signed letter and information from the Medicare website to document why Medicaid should be billed as primary.
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I think I have a similar problem- Cigna is requesting my weekly session notes for each claim to determine medical necessity. If I enroll in courtesy billing for this client, is there a way to include my session notes? I've never had a client run into this problem submitting superbills before, so I'm not sure how common this issue is.
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I'm getting ready to open up my PT practice and have been familiarizing myself with the software. I am curious how current PTs are submitting claims to Medicare, as we are required to provide them with a certified plan of care signed by the PCM and patient notes that demonstrate medical necessity. It doesn't look like you can do that with SP? Would be a very handy feature to have...
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Some insurance require to attach a resubmission form for corrected claims otherwise they process as duplicates and not being corrected. Since simplepractice doesn't have that option it makes it very difficult to have claims reprocessed (i.e., if you want to adjust a modifier on a claim etc.). It requires printing the claim, and the form and mailing them which is extremely inefficient and very time consuming.
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Hi Everyone - If you need to add an attachment to a claim submission, then I'd recommend printing out the claim created in SimplePractice as well as the supporting documents you wish to attach. Then mailing the claim and attachments physically to the insurance payer. At this time there's no way to add attachments to your electronic claims submission in SimplePractice. If this is something you'd like to see considered, please add it as a feature request on our Ideas and Suggestions Board, here: http://simplepractice.uservoice.com/ .
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