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Medical Billing Forum
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(Moderators:
Alice Scott
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Michele
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DMERC
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Topic: DMERC (Read 10432 times)
margemib
Full Member
Posts: 209
DMERC
«
on:
June 16, 2009, 06:38:41 PM »
Hi Michele,
I was wondering I know now that when you bill for a optometrist you had said you bill the office visit to Medicare and the glasses to DMERC, but in my software there is not a option to choose this type of billing center. When you set up the patient you have to enter primary, secondary and ter. and then when you create a claim you choose from a drop down list of their ins co, I do not see a way to choose DMERC, do you have any tips on what you do in your software.
margemib
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Margie Finlay CMRS
Pay_My_Claims
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Re: DMERC
«
Reply #1 on:
June 16, 2009, 06:59:42 PM »
its going to be 2 separate claims.
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margemib
Full Member
Posts: 209
Re: DMERC
«
Reply #2 on:
June 16, 2009, 08:36:02 PM »
I know but in my software when you create a claim and you choose your carrier you choose from only the patient ins. carriers listed in a dropdowm menu that you have to enter when you create a new patient file and the choices are the primary, secondary, and tri. if only it had a option for say (other) where you can enter something like this. How does your software do this.
margemib
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Margie Finlay CMRS
PMRNC
Hero Member
Posts: 4562
Re: DMERC
«
Reply #3 on:
June 16, 2009, 10:03:20 PM »
You should be able to load the carrier and then choose it.
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Linda Walker
Practice Managers Resource & Networking Community
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Michele
Administrator
Hero Member
Posts: 5927
Re: DMERC
«
Reply #4 on:
June 17, 2009, 08:30:33 AM »
We load the patient file with Medicare and the appropriate secondary info. Then we enter the claim for the exam. Then we start a new claim for the glasses and then just manually change the primary carrier from Medicare to DMERC just on that claim. You should be able to access the insurance info and change it for just the one claim.
If that doesn't work, and you are submitting the claim on paper, you can leave it set up as Medicare and place a white mailing label with the correct info over the Medicare address.
Michele
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Re: DMERC
«
Reply #4 on:
June 17, 2009, 08:30:33 AM »
margemib
Full Member
Posts: 209
Re: DMERC
«
Reply #5 on:
June 17, 2009, 09:08:05 AM »
Thanks everyone for all the advice, I guess your right Michele if I have no other option I'll have to send paper, I was thinking what about entering the patient a duplicate time and using DMERC as primary to send out this type of claim what do you think?
margemib
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Margie Finlay CMRS
Pay_My_Claims
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Re: DMERC
«
Reply #6 on:
June 17, 2009, 09:29:36 AM »
You should be able to load the insurance (Medicare-Dmerc) in the patient's account. This insurance should be listed under self pay so that it won't file in other cases. You shouldn't just "edit" the insurance for that one claim. When you send the claim for the glasses, you will move Dmerc to the primary position, and put Medicare under self pay. You should always be able to change the COB's on your accounts because insurance changes often.
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margemib
Full Member
Posts: 209
Re: DMERC
«
Reply #7 on:
June 17, 2009, 10:14:29 AM »
Charlene
let me ask you what software are you using, because I cannot find this option in mine it only lists primay, secondary and ter. the only way I can see is if I change the patients primary for this type of claim and then change it back after I generate the claim. This is crazy but I cannot find another way.
margemib
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Margie Finlay CMRS
Pay_My_Claims
Guest
Re: DMERC
«
Reply #8 on:
June 17, 2009, 01:23:12 PM »
I use TDME and we can load multiple insurances. I also use Office Ally, and Misys. I can understand your dilema. Are you saying your system only allows you to load 3 payors??? Since you have to create a separate claim for the glasses, I would guess that you can only do as what Michelle stated. Edit the primary on the 2nd claim and load Medicare Dmerc into your system as primary. When you have to bill another visit, you will have to change it. I have also used IDX, and you can load multiple payors, and change the COB depending on the situation.
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margemib
Full Member
Posts: 209
Re: DMERC
«
Reply #9 on:
June 17, 2009, 02:34:46 PM »
Thanks Charlene for the info!
margemib
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Margie Finlay CMRS
Medical Billing Forum
Re: DMERC
«
Reply #9 on:
June 17, 2009, 02:34:46 PM »
Pay_My_Claims
Guest
Re: DMERC
«
Reply #10 on:
June 17, 2009, 02:41:38 PM »
You are very welcome!! What system are you using BTW?
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margemib
Full Member
Posts: 209
Re: DMERC
«
Reply #11 on:
June 17, 2009, 05:53:14 PM »
I am using Medlook, I like it because the service is good.
Thanks
margemib
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Margie Finlay CMRS
Pay_My_Claims
Guest
Re: DMERC
«
Reply #12 on:
June 17, 2009, 08:58:44 PM »
OK, never heard of them, so I wouldn't know my way around their system. I hope you can maneuver the claim the other way so you can send it electronic.
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margemib
Full Member
Posts: 209
Re: DMERC
«
Reply #13 on:
June 17, 2009, 10:07:21 PM »
I guess all I can do is change the primary and send out the claim and then change it back.
It's really crazy!
Thanks for your help.
margemib
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Margie Finlay CMRS
Michele
Administrator
Hero Member
Posts: 5927
Re: DMERC
«
Reply #14 on:
June 17, 2009, 11:27:41 PM »
You could do that, but I'd really be surprised if your software doesn't allow you to switch the carrier at a claim level.
Michele
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Re: DMERC
«
Reply #14 on:
June 17, 2009, 11:27:41 PM »
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DMERC