There are times when you need to correct the information you submitted using the EDI Claim Filing Method. This information will give you the basics of how to do that.
Please Note: This information may be out-of-date. If you have suggestions or information that would help us update the article please send it to support@therapymate.com
Office Ally (Claim Fix Method)
- Correct the inaccurate or missing information in TherapyMate.
- Login to Office Alley.
- Go to the Claim Fix page and choose Repairable Claims.
- Dates with rejected claims in them will be in red.
- Click on the red dates until you find the claim that got rejected.
- Click on the claim and you will see the errors.
- Click on Correct to view the claim in CMS-1500 format.
- The claim will display in CMS-1500 format on your screen.
- Add the required information to correct the claim.
- Put the resubmission code in Box 22. Here are the common codes you can use: 6-Correct Claim, 7-Replacement Claim, 8-Void/Cancel Prior Claim.
- If you received an EOB for the claim, put the original claim number in Box 22 next to the resubmission code.
- Click Re-submit
Example: If the claim should have been submitted as an EAP session, I would go to the Claims Viewer page and find the claim(s). I would put the EAP Authorization Code in Box 23, then add the Modifier Code HJ in Box 24D. Then I would put 6 in Box 22 to indicate that I was submitting a corrected claim. I would then resubmit the claim.
Office Ally (Inventory Reporting)
- Correct the inaccurate or missing information in TherapyMate.
- Login to Office Alley.
- Go to the Inventory Reporting page in Office Alley.
- Enter the date range for the claim you’re looking for.
- Enter the patient last name and click search
- You will see a list of the claims that were submitted for this client in a table
- underneath the search box.
- Click on the pencil icon next to the date of service that you wish to fix.
- The claim will display in CMS-1500 format.
- Add the required information to correct the claim.
- Put the resubmission code in Box 22. Here are the common codes you can
- use: 6-Correct Claim, 7-Replacement Claim, 8-Void/Cancel Prior Claim.
- If you received an EOB for the claim, put the original claim number in Box 22 next to the resubmission code.
Click Update