OnSTAFF 2000
Medi-Care Autopayment
How Does this Work?
Medicare will place your ANSI ERA file in what is referred to as your CABBS mailbox. The file is picked up by your server (NOT Prime Clinical) using the OnSTAFF software Main Menu à Payment à ANSI AutoPay feature.
How Often Do I Execute the ANSI Auto Payment Feature?
The ANSI ERA file is to be picked up weekly for Southern California submitters (i.e., your submitter number begins with zeroes, e.g., 000012345) and daily for Northern California submitters (i.e., your submitter number begins with BBB, e.g., BBB12345B). Please contact support to automate the pick up of your ANSI ERA files.
What Am I Picking Up?
The printed ANSI ERA file, entitled EXPLANATION OF BENEFITS (EOMB), which contains the same information as Medicare’s EOMB. The check number(s), denial codes, crossover notification, etc. are included in the printout.
A File Name is also included on the last page of the ANSI ERA file printout. This is composed of the date and time of file pickup followed by a dot and your 9 digit submitter number.
Example: 06012006091500.000001234 or 06012006091500.BBB12345B
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Report picked up June 1st, 2006 at 9:15:00 am
06012006091500.000001234 or 06012006091500.BBB12345B
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Example submitter # 000001234 or BBB1234B (yours will display here)
The ANSI ERA file printout may contain an Error Report, entitled AUTOMATIC PAYMENT ERROR REPORT (See 1.D).
What Happens if an ANSI ERA File Printout is Lost or Destroyed?
You may reprint a previously picked up ANSI ERA file at any time as long as you know your File Name. This is accomplished from the Payment/ ANSI Auto Payment feature (See 2).
1. Pick up an ANSI ERA file
Prime Clinical can automate the pickup of these files for you. If your office is enrolled, and you would like this feature automated, contact software support at 626-449-1705.
Go to Main Menu à Payment à ANSI AutoPay and complete the screen as follows.
The system will next prompt:
Enter your print out destination or Return for default? HP
Press [Enter] if the displayed default printer, HP here, is the correct printer or replace with the correct printer then press [Enter].
After responding to the above prompt the following will occur:
A: Your system will dial Medicare and pick up the ANSI ERA file, also known as the ANSI 835 report.
B: The report will ONLY be printed, NO payments or adjustments will be applied.
C. The File Name for this ANSI ERA file (or ANSI 835 report) will be included on the last page of the report.
D: An error report, entitled AUTOMATIC PAYMENT ERROR REPORT, may print when patient accounts can not be verified either due to a non-existent account number, incorrect subscriber number, procedure code not posted to the patient's account, charge amount(s) or date(s) of service not being found on account.
2. Reprint an ANSI ERA file
To reprint an ANSI ERA file, complete the screen as above with the following exception:
On field File Name enter the File Name of the ANSI ERA file you wish to reprint.
3. Post the ANSI ERA file
Prime Clinical cannot automate this step.
Go to Main Menu à Payment à ANSI AutoPay and complete the screen as follows.
The system will next prompt:
Enter your print out destination or Return for default? HP
Press [Enter] if the displayed default printer, HP here, is the correct printer or replace with the correct printer then press [Enter].
After responding to the above prompt the following will occur:
A: The payments and adjustments of the entire ANSI ERA file (when Check Number is left blank) or only the payments and adjustments associated with the entered Check Number will be posted.
B: The ANSI ERA file will be printed.
C: Secondary claims will print depending on the option entered on Print Bill.
USE OF BATCH NUMBER:
A journal may be printed either by operator code and/or by batch number through Main Menu à Management à Journal by appropriately completing the Option, Operator Code, and Batch No. fields.
In the case of an operator error, an ANSI ERA posting can be reversed by operator code and/or by batch number through Main Menu à Utility à Maintenance à Reverse Entry. This can ONLY be done on the same clinic date as that of posting the ANSI ERA file (i.e., the same day the ANSI ERA file was posted AND prior to the day being closed).
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