Question: I have been using the 999/277 Decoder from the ClinicPro Support site, but I am still confused on how to use it or what the information means.
Answer: 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.
1. 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.
2. 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.
3. 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.
4. 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.