Home Forums Discussions General Discussion Huge problem

I ran into a problem. I was happy to use office ally at first. Most insurers sent me check no problems. The problem arose when Anthem sent checks to patients!!! Now I am having trouble collecting these "bonuses" that patients thought they were getting! I cannot believe Anthem would do that! The other insurers were smart enough not to do that. Also, I find out that Box 12 and 13 on billing from Amazing Charts is not marked signature on file. This is the problem. I have corrected and still same problem from OA! This is a huge issue since I cannot have my checks going to patients under their names! Help, anyone had this problem before. I put call to OA asap for an answer.
Jack

Jack,

I've seen this issue posted a few times through out the forum. It's actually an Amazing Chart issue, not an Office Ally issue. I've yet to hear of Amazing Charts addressing this issue. I've been told in the past by Amazing Charts to MANUALLY type in this data, in the file, before uploading to Office Ally. It's a horrible extra step, but it seems like the only work around if Amazing Charts does not fix. This issue 1st arose 2+ years ago, so I'm assuming the Amazing Charts support is not very concerned by docs not getting paid. Just a note, the electronic version and the printed versions can be different. If worse comes to worse, you can have it hardcoded by Office Ally. It would ALWAYS populate no matter the payer/provider/patient etc.

Insurance companies do this all the time if they can screw you - in my state it is illegal to send the checks to pts, but they do. A variety of reasons can do this and pts are lying if they do not think this is strange. This box may be the problem, but it could be any other reason they make up to make problems for you.

Cherdimus,

how do you manually type in the file before uploading to Office Ally?

Frank,

You can open the file you created in excel. Each column will be a specific field. For the most part, it goes top to bottom, and left to right as far as field order. I know Patient Sig (box 12) is column BS, Patient Sig Date is column BT, and Insured Sig (box 13) is column BU.

To Determine which column is what field, I use the following:

1) Open claim file in Excel
2) Insert row on 1st row of Excel (above the claims)
3) Insert the field headers on that 1st row(provided below, do not copy the paranthesis)
4) Optimize column widths

You should now be able to view the claims with the data in the labeled columns. This is how I determined what column boxes 12/13 were. One thing to note, you will need to delete the first row (where field labels exist) before sending to Office Ally; it causes issues. My system doesn't ask me to save the file as any different format, but if it prompts you to 'save as', you'd want to select text, tab-delimited file format. Hope my explanation was clear enough. Let me know if you're able to figure it out. Again, fields are listed below.

(InsurancePlanName InsurancePayerID InsuranceStreetAddr InsuranceCity InsuranceState InsuranceZip InsuranceCityStateZip InsurancePhone PlanMedicare PlanMedicaid PlanChampus PlanChampVA PlanGroupHealthPlan PlanFECA PlanOther PatientID PatientLast PatientFirst PatientMidInit PatientDOB PatientMale PatientFemale InsuredLast InsuredFirst InsuredMidInit PatientStreetAddress PatientCity PatientState PatientZip PatientPhone PatientRelationSELF PatientRelationSPOUSE PatientRelationCHILD PatientRelationOTHER InsuredStreetAddress InsuredCity InsuredState InsuredZip InsuredPhone PatientMaritalSingle PatientMaritalMarried PatientMaritalOther PatientEmploymentEmployed PatientEmploymentFullTimeStudent PatientEmploymentPartTimeStudent OtherInsuredLast OtherInsuredFirst OtherInsuredMidInit OtherInsuredPolicyOrGroupNumber OtherInsuredDOB OtherInsuredSexMale OtherInsuredSexFemale OtherInsuredEmlpoyerNameOrSchoolName OtherInsuredInsurancePlanorProgramName CondtionRelatedToEmlpoymentYes CondtionRelatedToEmlpoymentNo CondtionRelatedToAutoAccidentYes CondtionRelatedToAutoAccidentNo AutoAccidentState CondtionRelatedToOtherAccidentYes CondtionRelatedToOtherAccidentNo ReservedForLocalUse InsuredPolicyGroupOrFecaNumber InsuredDOB InsuredGenderMale InsuredGenderFemale InsuredEmployerNameOrSchoolName InsuredInsurancePlanNameOrProgramName IsThereAnotherHealhPlanBenefitYes IsThereAnotherHealhPlanBenefitNo PatientSignature PatientSignatureDate InsuredSignature DateOfCurrent DateOfSimilarIllness UnableToWorkFromDate UnableToWorkToDate ReferringPhysician ReferPhysQualifier ReferringPhysicianID Refer_Phys_NPI Super_Phys_NPI HospitalizationFromDate HospitalizationToDate Box19Notes OutsideLabChargesYes OutsideLabChargesNo OutsideLabFees DiagCode1 DiagCode2 DiagCode3 DiagCode4 DiagCode5 DiagCode6 DiagCode7 DiagCode8 MedicaidResubCode MedicaidRefNumber PriorAuthNo HCFACLIANumber FromDateOfService1 ToDateOfService1 PlaceOfService1 EMG1 CPT1 ModifierA1 ModifierB1 ModifierC1 ModifierD1 DiagCodePointer1 Charges1 Units1 EPSDT1 RenderingPhysQualifier1 RenderingPhysID1 RenderingPhysNPI1 FromDateOfService2 ToDateOfService2 PlaceOfService2 EMG2 CPT2 ModifierA2 ModifierB2 ModifierC2 ModifierD2 DiagCodePointer2 Charges2 Units2 EPSDT2 RenderingPhysQualifier2 RenderingPhysID2 RenderingPhysNPI2 FromDateOfService3 ToDateOfService3 PlaceOfService3 EMG3 CPT3 ModifierA3 ModifierB3 ModifierC3 ModifierD3 DiagCodePointer3 Charges3 Units3 EPSDT3 RenderingPhysQualifier3 RenderingPhysID3 RenderingPhysNPI3 FromDateOfService4 ToDateOfService4 PlaceOfService4 EMG4 CPT4 ModifierA4 ModifierB4 ModifierC4 ModifierD4 DiagCodePointer4 Charges4 Units4 EPSDT4 RenderingPhysQualifier4 RenderingPhysID4 RenderingPhysNPI4 FromDateOfService5 ToDateOfService5 PlaceOfService5 EMG5 CPT5 ModifierA5 ModifierB5 ModifierC5 ModifierD5 DiagCodePointer5 Charges5 Units5 EPSDT5 RenderingPhysQualifier5 RenderingPhysID5 RenderingPhysNPI5 FromDateOfService6 ToDateOfService6 PlaceOfService6 EMG6 CPT6 ModifierA6 ModifierB6 ModifierC6 ModifierD6 DiagCodePointer6 Charges6 Units6 EPSDT6 RenderingPhysQualifier6 RenderingPhysID6 RenderingPhysNPI6 TaxID SSN EIN PatientAcctNumber AcceptAssignYes AcceptAssignNo TotalCharges AmountPaid BalanceDue PhysicianSignature PhysicianSignatureDate PhysicianLast PhysicianFirst PhysicianMidInit FacilityName FacilityStreetAddr FacilityCity FacilityState FacilityZip FacilityCityStateZip FacilityNPI FacilityID MammographyCertification SupplierName SupplierStreetAddr SupplierCity SupplierState SupplierZip SupplierCityStateZip SupplierPhone SupplierNPI GroupID)

The field list is TAB separated, so when you paste into Excel, it uses that as the delimiter to create each column.

That's a lot of work. I permanantly had it programmed. I am not happy about not catching this earier

Sorry...