Payer specific automatic secondary claim creation
In certain payer situations (Texas Medicaid as Secondary Payer) a secondary claim would need to be created even though the primary PR is $0.00. Currently, the default action in Fusion is to close out the claims process. In these situations, a secondary claim would need to be automatically created. Suggest adding a toggle to allow the option to automatically create the secondary claim.
-
Terrah W commented
Is it possible to somehow be able to alert or notify from the Remit screen if there is a secondary payer. Currently we have to go into the claim to force a payment to forward to a secondary, which is fine, but as a large clinic with multiple locations it is very hard to remember the patients that do or do not have a secondary. Most of our allowable rates from the primary payer are lower than the secondary allow, so missing those secondary payments adds up over time!
-
Tracey R commented
We need to be able to make a claim rule for our Early Steps (State Early Intervention) payer that if the primary does not pay and does not assign a patient responsibility, when we finalize the primary payer it would default to the secondary payer. Currently since it doesn't assign a patient responsibility it won't default to the secondary so now it is a manual process.