I recently had a claim that had been filed electronically. It was discovered that the wrong payor ID had been used. I updated this in the patients family file and just refiled the claim electronically with the corrected payor ID. It was flagged as a duplicate and rejected before it ever even made it to the insurance company for processing. I know I can delete the original claim and recreate it with the new payor ID to avoid it being picked up as a duplicate, but when we do this we lose the tracking information for the claim in the claims manager, which is sometimes needed for appeals and other reasons. There needs to be a way to denote for Dentrix/clearing houses/etc that a claim has corrected information and is not a duplicate.
Guest
While we appreciate the clearing house keeping track of redundant submissions, we hardly ever resubmit a claim without a good reason. It's too bad the clearing house can't detect the nuances themselves. It would be impossible for them to read every single claim for a simple mistake we might make (such as using a one-surf code when we did a two-surf - that sort of thing, compared to the hundreds of other mistakes we have to fix for the insurance companies like not putting the correct date of birth for a patient in their system and acting like it's our fault - why, I ought to...!). We have to resubmit or they'll simply forget about it and never pay.