Electronic transmissions do not send code modifiers

[artzoop]

Hi,

We're running Altapoint Medical v.6.00.20. When doing billing, CPT
codes and modifiers can be added to a patient's bill okay and those
codes and modifiers show up in the various Altapoint panels. However,
when submitting the bills electronically, the modifiers are not sent --
just the CPT codes. Hence, our bills are rejected by the insurance
companies.

Has anyone experienced a similar problem, and/or have advise how to fix
this issue?

Thank you,

Greg.

[pe...@medpipes.com]

Your issue is typically a result of one of the following:

1) You didn't enter the data
2) You entered the data but your claim format is not correct. For a
correct format go to http://www.medpipes.com/Downloads.htm

3) You entered the data, your format is correct but your clearinghouse
has not mapped your file correctly. If you use the above format, it
will create a file at c:\hcfa.txt. After you create your batch you can
open this text file using notepad. If your data is there, but your
clearinghouse is rejecting your claims then you should follow up with
the clearinghouse.

[artzoop]

Thanks for your helpful reply, Peter.

It seems our office was using the default "PROCLAIM" form for
electronic claims, rather than the ECLAIM form. We tried the ECLAIM,
but it still was missing the referring physician ID. I edited that
form to point to the UPIN code, and it works fine, as far as creating
the batch file. Just need to followup now with the clearing house.

Thanks again. I appreciate your help.

Greg