Complete this task, also referred to as a Rebill 2, to generate a new claim with updated information on the case that does not affect the original amount billed. For example, rebilling a claim with new patient or guarantor information such as the Member ID or Subscriber ID. Other instances a Rebill 2 may be necessary include:
Adding a secondary insurance on the case
Adding an NPI number if none was entered previously
Modifying patient demographics, payer ID, coverage or insurance type
Entering valid diagnosis codes on the case if the previous codes entered were found to be invalid
Editing existing concurrency modifiers
Resubmitting the original claim with no changes of any kind
Creating a new insurance and re-ranking non-primary insurance records in the following scenarios:
Service fee contains a primary payment
Service fee contains a secondary claim for a different insurance
Rebilling multiple claims (Mass Rebill)
You do not have to perform a rebill if you are only updating the Case Reporting Type field on the General Case Information tab. This field can be updated anytime, regardless if the case has been submitted or saved.
When you rebill the service line with no fee changes, the original case is displayed on the Rebill page so that you can modify any information in the case that does not affect fees. You can then rebill one or more of the service lines in that case. When rebilling claims using this rebill type, responsibility of each service line rolls to the target payer.
The description of the original CLAIM sub-entry is changed to Cancelled Claim. The REBILL sub-entry is created for the SVCFE line with the new CLAIM sub-entry for the same charges and the replacement claim.
Fees are not recalculated, even if the underlying fee schedule has changed. Concurrency checking is excluded from the error checking process.
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)
Click Rebill. The Rebill Type window opens.
Select the Rebill Service Lines on a Case without Changing Fees option.
Click Next. The Rebill page opens with the case information from the original claim.
Modify the pertinent information on the case.
You can only modify the information in the case in the case that does not affect service fees, for example, patient or guarantor information or the Member ID of the subscriber. The information that cannot be modified is grayed out.
What can be changed
Where to enter it
Patient, Guarantor & Insurance tab
Use the Modifying Patients, Guarantors & Subscribers task. Also, use this task to update the patient personal information, for example social security number and marital status.
Insurance section on the Patient, Guarantor & Insurance tab