Creating a claim batch for ANSI X12 837 and/or NSF file transmission

The following information applies to (1) sending a batch of ANSI X12 837 claims directly to your DMERC and/or commercial payers, and/or (2) sending a batch of NSF claims (commercial billing) to a switch (e.g., WebMD).

To prepare a claim batch:

  1. Select New, New Claims from the Financials menu.
  2. Click the New Claims tab. All active claims (excludes locked claims) are displayed alphabetically by patient last name.
  3. Click the "Payer" column header to sort.
  4. Check the claims you wish to include in the batch.
  5. Click E-Bill.
  6. Select an Electronic Receiver from the list (e.g., Medicare, DMERC, WebMD)
  7. The program screens the claims for missing information prior to creating an ANSI X12 batch file. If missing data is detected, an "X12 Errors.txt" file is created and you are prompted with a message to view/print the report. This report lists the patient name, claim number and the problem field and/or missing data.
  8. Correct the claim data and then repeat steps 4-6 above.

A new batch file is created each time you click E-Bill. The file name includes the electronic receiver name, date/time created and file type (e.g., "DMERC_D_20040312153045._837.txt"). The default directory where these .txt files are stored is the shared Ascend directory on your Ascend server (e.g. "\\Server_Name\Ascend"). If necessary, you can change this default directory in the electronic receiver record of Ascend (Utilities/Electronic Receivers menu). 

Note: When uploading the batch file to your electronic receiver, point to the most recent .txt file.

Uploading the claim batch to your DMERC BBS