Bill Medicaid Claims

Bill Medicaid Claims

NC Medicaid Direct (NCTracks) – Process Flow
Verify Eligibility
→
Visits Audited / Imported
→
YOU ARE HERE
Claims Created
→
Transmit to NCTracks / Post Charges
→
Post Remit File

Overview

This step creates Medicaid claims (837) from imported visit charges (Employee Activity > Visit Entry). 

Understanding the Billing Screen Layout

The All Other Billing screen is divided into three panels. Use them in the order listed below.

  1. Panel 2 – Billing Criteria: Set billing dates, program(s), and payer(s).
  2. Panel 1 – Patient List: Review the list of active patients for the criteria.
  3. Panel 3 – Charge & Claim Actions: Prepare charges, print reports, and generate the 837 file.
Example of PRN Order 2

How to Create Medicaid Claims - Standard Clean Claims

  1. Go to Billing > All Other Billing.
  2. Enter your From and Thru service dates.
  3. Select the appropriate Program(s) and Payer(s).
    • It is recommended to select one payer at a time.
  4. Optional filters:
    • Search by Name or Chart# – bill a single patient or build customized list
  5. Click Select Patients as Specified Above if you do not build a customized list.
    • This will use your filter options to add active patients during the time frame. 
  6. First Panel: Review the list. You can click on a name to remove from the billing list. 
  7. Click Prepare Charges for Billing.
    • A report will appear if there are errors. Review the errors and correct before proceeding. 
    • You can remove patients from the list at this point, but you'll need to click the Prepare Charges button again.
  8. You'll have an option to view a summary or detailed report of charges.
  9. Once you have confirmed charges appear accurate you can click the Create HIPAA Tx button.
    • Print is optional. This report shows the name of the billing file.

How to Send Claims

Send claims via SFTP in Barnestorm:Transmit Files to NC Medicaid

If you are not set up for SFTP, upload through the NCTracks portal>:Upload Claims in NCTracks

Printing paper claims can be done from Billing > Print UB04/1500:Print / View an UB04 / 1500

Advanced: Additional Filter Options

Panel 3 – Charge Type: Select the type of charges you are billing (Visits, Supplies, Flu Shots, Other Charges).Make sure the appropriate checkbox is selected.

Dates These Charges Were Keyed: Defaults From = billing From date and Thru = today.Change these dates only if you want to capture charges keyed during a specific time frame (example: late entries).

Include Modified Charges: When checked, includes charges that were added or modified during the keyed date range.When unchecked, includes only charges added during the range.