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Description: In this article, the user will learn how to create a new manual EDI/837 billing batch. This is a manual process to make updates and corrections to data in the EDI/837 file generated in a billing batch. Examples of why updates and corrections are needed to the EDI/837 file, incorrect data was submitted to the funding source, or the file was submitted and denied by the funding source for incorrect data i.e., Medicaid numbers or authorization numbers, etc. Any data updates or corrections made will need to be updated in DCI for future billing batches to be successful.
All three procedures must be completed for the EDI/837 transmission file to be generated for resubmission to the funding source.
*Please note: EDI/837 needs to be enabled in your organization’s instance-level setting and enabled on the funding source. Please submit a support ticket for assistance. For customers using Claims Manager, only use this process for modifications that cannot be made in the portal. These updates and corrections to data are made in the EDI file generated in a billing batch. Also use this process for claims that are not created in portal (i.e., fee-based claims).
All three procedures must be completed for the EDI/837 transmission file to be generated for resubmission to the funding source.
*Please note: EDI/837 needs to be enabled in your organization’s instance-level setting and enabled on the funding source. Please submit a support ticket for assistance.
Roles: Super User, Billing Team
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