Adding Claims to a Batch Claim
Office Puzzle lets you build a batch claim from four different sources, depending on where the data you need to bill is coming from. This article walks through each one.
Before you start: you need an existing batch claim. From the left menu, go to Billing > Batch Claims, then either open an existing batch or click + New Batch.
The four sources
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Source
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Use it when
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UNBILLED_EVENTS
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You want to generate brand-new claims from completed appointments/events that have not been billed yet.
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DENIED_CLAIMS
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You would like to rebill claims that came back denied or declined from the payer.
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UNBILLED_CLAIMS
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Claims already exist in the system but have not been attached to a batch yet.
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MANUAL
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You need to key in a claim by hand.
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Note: a batch claim is tied to a single payer and clearinghouse. Only records that match the batch's payer will be available to add.
Source 1 — UNBILLED_EVENTS
Step 1 — Set your filters
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All providers
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All credential types
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All payers
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All clients
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All event types
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All billing codes
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All Document Status
Step 2 — Wait for the search to finish
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Tip: the Tasks Manager runs in the background, so a large date range will not lock up your screen.
Step 3 — Select the events to bill
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Export downloads the event list shown on screen, which is useful for reviewing units and hours before you bill.
Step 4 — Configure how claims are generated
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Split by Provider
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Split by Credential
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Split by billing code
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Split by Place of Service
Example: if a payer requires separate claims per rendering provider, set Split by Provider to Yes and Office Puzzle will create one claim per provider instead of one per client.
Step 5 — Review and add the claims
Source 2 — UNBILLED_CLAIMS
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Tip: hover the status icon at the left of a row to open the Alerts panel. It tells you whether the claim has validation errors before you submit it — "No errors found" means the claim is clean.
Source 3 — DENIED_CLAIMS
Before rebilling: open the claim's Alerts panel and fix the reason for the denial (authorization, insurance ID, billing code, place of service) so the claim does not come back denied a second time.
What happens next
Troubleshooting
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Problem
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What to check
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"No records available" after searching
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The date range may not cover the service dates, or the batch's payer does not match the records you are looking for. Widen the range and clear the client filter.
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Expected events are missing from Select events
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The events may not be in a billable status (for example, not COMPLETED), or they may already be billed on another claim. Check the All Document Status filter.
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Too many or too few claims were generated
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Review the Claims Setup split options. Splitting by provider, credential, billing code or place of service changes how many claims are created.
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A claim was added but shows an alert
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Open the Alerts panel on the claim row to see the validation errors before submitting the batch.
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