Problem: Claims for lab tests and certain procedures being rejected
Solution: Put in CLIA numbers and check the billing file
CLIA number needed for Some Offices.
There are some offices that require prescriptions to be written for their patients and billed. Not all offices require this so for the ones that call in and say they have rejections because their claims require a CLIA number the following instructions will walk you through the Clinic Pro features that need to be used. A CLIA utility may need to be run that will allow the office to create the loop and segments required in their billing file.
- Make sure the billing doctor has the CLIA number in the staff doctor license tab.
2. The CPT codes are specific to the CLIA information in order to generate the loop.
Procedures: 80000-89999 or G0103','G0107','G0328','94762','36415
3. The NCD may be necessary- it is a 11-digiit number that includes the quantity and units.
4. After creating the file, the loops and segments required will then generate as seen below:
