Karinking
Guest
Been medical biller 17ys. Working my CPB course/certification. Chapter 8 Claims-electronically, and READ this in Section 8.2 page 158; "The medical biller must understand completing the claim form with accurate information, but not the technical data elements required for the ASCX12 transmissions."
So is that saying we as billers are not required to know how the data/format changes from our claim when transmitted to ASCX12?
And if so, why then when a biller receives claim rejections from payer (edi dept) and clearinghouses that references errors of "looping data errors" are we expected to resolve that issue? These are the kinda errors related to the ASCX12 transmissions, right? (correct me if im confused)??
Because in my experience when contacting clearing house or edi depts of payers...they are most of the time very unhelpful with these rejections.
These kinda rejections have always been my biggest frustration trying to get claims adjudicated/paid!
So is that saying we as billers are not required to know how the data/format changes from our claim when transmitted to ASCX12?
And if so, why then when a biller receives claim rejections from payer (edi dept) and clearinghouses that references errors of "looping data errors" are we expected to resolve that issue? These are the kinda errors related to the ASCX12 transmissions, right? (correct me if im confused)??
Because in my experience when contacting clearing house or edi depts of payers...they are most of the time very unhelpful with these rejections.
These kinda rejections have always been my biggest frustration trying to get claims adjudicated/paid!