Recent Updates

  • Updated on: Dec 07, 2022

    7. HCPCS Maintenance (Block 24D)

    Tools -> Billing Maintenance -> HCPCS Maintenance

  • Updated on: Dec 07, 2022

    6. CPT® Code Maintenance (Block 24D)

    Located in the Tools menu -> Billing Maintenance ->CPT Maintenance

  • Updated on: Dec 07, 2022

    5. PM Security Administration

    Tools -> Security

    Billing Security options have been added for Groups, Roles and Users. Each section will have to be completed to allow Users access to assigned areas of Billing. Click on a specified action to allow access (green check mark), deny access (red X) or default to the user's individual privileges (leave blank ). Clicking on Allow All button will place a check in all boxes and Clicking Deny All will place a red X in all boxes.

    Users should be added to Security Prior to assigning privileges to Billing

    Security changes made will not take effect until you log out. For additional documentation on Security see  online manual

  • Setup how paper and electronic claims are exported from the system.

    Tools -> Billing Maintenance -> Claims Options

  • Updated on: Dec 07, 2022

    3. Provider Manager (Blocks 24J and 31)

    Tools -> Provider Manager

  • Tools menu -> Manage Groups

  • Tools -> Manage Facilities

  • A brief description of the Provider Enrollment process.  

    (Color coding is used to denote participant roles and associated activities.)

            Blue  = Office

            Teal = SOAPware

            Black = TriZetto (Formerly known as Gateway EDI)

  • Before you begin

  • Updated on: Dec 07, 2022

    Introduction to Data Explorer