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999 or 277 rejection

Problem:  Here at ClinicPro, we are working hard everyday to make your life easier.
One way in which we have tried to do that, is to make receiving rejections a painless experience.

Daniel worked very hard on creating a decoding system for rejections, and we are very proud of it. We call it our 999/277 Decoder, and it is easy to access from our new clinicprosupport.com website.   You can view a video explaining how to use it:  Video

The decoder, along with other helpful tools can be found under the Help Yourself drop down menu.  

In order to decode a file there are a few steps to take. 
First, make sure the rejection files are in your ansiremit folder. They are usually here, you will see in your EDI on the right side of the screen all your remittance goes into an ansiremit folder within vcpro. That is where they are directed to go. 

Secondly, you will need log in credentials for our decoder, (Username: clinicpro Password: decoder). 

After you are logged in, you will see a yellow box along the top with a choose file option.
Click on choose file, your file explorer will then pop up. 
Navigate to your local drive.
Select vcpro, then select ansiremit.
Once you are in the ansiremit folder select the file in which you need to decode and click Open.
You will see the selected file name appear next to the choose file button.
Then click upload file. You will be brought to another screen and again hit upload file.
You will be brought back to the decoder screen, scroll down to the box below the yellow box.

This is where you will see the break down of the rejection.
The date of the original file is going to be on top, followed by effected loops, segments and the rejection reason.

Solution:  Once the rejection is decoded from its raw form the result can be a little intimidating if you are not sure where to gather the information the decoder is giving you. We suggest that you write down the Loop and Segment that are being rejected. Along with the file date, the Line in RF and the reason. After having all that in front of you, the easiest way to find the patient that is the problem, is to utilize your RF (reference file). ClinicPro creates a RF file every time it creates your CP or X12 file for electronic billing. To find them, go to your vcpro folder, open your insbill folder, then open your ebout folder. When you are ready to fully decode your rejection go to the date that the file was built (the date on the decoder), and then search for the line that is effected. You can easily search by selecting the Find option from the Edit drop down within notepad. Once you match the line with the loop and segment that are rejected you can then find the Subscriber that is being rejected in the file.   You now have the patient/subscriber that is the issue along with the reason for the rejection. Make the proper changes within ClinicPro and reset and re-bill for those transactions.


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