Corrected Claims
Welcome to the GoRev Corrected Claims Tutorial. In this tutorial, we will focus on the process of submitting a corrected claim within GoRev.
1 : Configure the Insurance Carrier to Accept Corrected Claims
The first step you will want to do is make sure that the carrier you are going to submit the claim for is set up in GoRev to accept corrected claims. You can do this from the Home Screen by clicking on the "Admin" button and then "Carriers".
Note: Modifying carriers requires special access within GoRev. If you do not have the Admin or Carriers option on your screen then you will need to reach out to a manager or facility Authorized Delegate.
SUBSCRIBED INSURANCE CARRIERS
If the facility you are working in has Insurance Carriers that are subscribed from another facility you will not be able to change them. For those Insurance Carriers you will see True in the Is Subscribed column. In order to edit subscribed Insurance Carriers you must be working out of the parent facility.
CHANGING THE CARRIER SETTINGS
With the Carrier Management module open, click on the Insurance Carrier you would like to change so it is highlighted, then click on the "Claim Generation" tab.
From the Claim Generation tab, click the check box next to "Allow Corrected Claims" and then click "Save Carrier".
2 : Manually Submit the Corrected Claim
Once the Insurance Carrier is configured to accept corrected claims you are ready to proceed. You can do this by opening the Patient Overview, clicking on the "Workflow" button, and then the "Rebill" button. This will mark the Coding Status on the account to Coding Complete and place it into the next batch to be transmitted.
3 : Automatically Submit the Corrected Claim
If the carrier is already set to accept corrected claims, and the account in question already has a ICN number, GoRev will automatically submit the claim for you. In order for the system to do this you must first set the Coding Status to "Coding Approved".
Next verify the account has a number in the ICN box under the Insurance section in GoRev. With the Coding Status changed the account will automatically be placed into the next batch to be transmitted.
Additional Resources
GoRev Support Team
If you have any questions, concerns, or problems regarding this GoRev Tutorial, please contact the GoRev Support Team by submitting an IT Support Ticket, by phone at 1-(317)-794-3900, and/or by email at ask@gorev.com.
Note: Always submit an IT Support Ticket detailing the problem that you are experiencing with this portion of GoRev, if possible, as this will give GoRev Support Agents access to information that will help expedite the resolution of your issue. If you are unsure how to submit an IT Support Ticket in GoRev, please see the IT Support Ticket Creation tutorial for assistance.