Rebilling Claims with Fee Changes

Complete this task to rebill the original case and create a new claim for the original case.

When you rebill the claim with fee changes, also referred to as Rebill 1, the original case is reversed and a new case is created from the original case. Fees are recalculated. Full error checking is performed, including concurrency checking. All service lines on the original claim are rebilled. The rebilled case is created in and can be resubmitted from the originating charge batch.

Electronically voided claims need time to be transmitted to the clearinghouse from Connect before the Rebill 1 can be completed on the service line. Doing a Rebill 1 before the claim is transmitted will result in the voided claim being cancelled.

Step-By-Step Guide

Step

Instructions

Additional Information

1

From the Act: [ID] > Active AR tab of the account with the claim to rebill, click the sub-entry of the claim to rebill.

You can click any of the following sub-entries for the SVCFE transaction code:

CLAIM-E (electronic claim)
REBILL-E (rebilled electronic claim)
CLAIM-P (paper claim)
REBILL-P (rebilled paper claim)

2

Click Rebill. The Rebill Type window opens.

3

Select the Reverse Service Fees for a Case and Rebill from a Cloned Case option.

4

Enter or select the accounting date in the Accounting Date field to use for this transaction.

If your practice is not configured for accounting dates, the Accounting Date option is not available.

5

(Optional) Select the Reverse all insurance payments to suspense checkbox to reverse any IPYMTS on that service line to suspense.

6

Click Next. The confirmation message displays.

If the Reverse all insurance payments to suspense checkbox is selected in the prior step, the warning message will include a line about the IPYMTS being reversed to suspense.

7

Click Yes. The Case: New page appears with a newly created case containing information from the original case.

8

Modify the pertinent information on the case.

You can modify all information in the case. If adding insurance, mark the new insurance as active.

What can be changed

Where to enter it

Patient

Guarantor

Patient, Guarantor & Insurance tab

Use the Adding Patients, Guarantors & Subscribers task. Use the task Modifying Patients, Guarantors & Subscribers to update the patient's personal information, for example, social security number and marital status.

Date of Service

Facility

Weight (if patient is younger than 30 days old)

Last Menstrual Period (if patient is pregnant)

General Case Information tab

Use the following tasks:

Recording General Information
Recording Patient Details

Procedures

ICD-9 Code/ICD-10 Code

Anesthesia Case Provider Time (for anesthesia procedures)

Procedures & Provider Time tab

Use the following tasks:

Adding Procedures
Adding or Updating Diagnosis Codes
Recording Provider Time

Signature and release authorization

Additional Case Information tab

Use the Recording Signature & Release Authorization task.

9

After finishing changes, click Save.

10

Submit the case to generate the new claim or claims on any applicable new service fee lines.

The claim is listed on the appropriate Claims page, either Electronic or Paper. A new claim is generated and the account is updated on the Active AR tab as follows: