Claim Manager

DuxWare Claim Manager

The DuxWare Claim Manager is where your pending claims reside to be submitted to the respective payers either via Electronic or Paper submission. The user may also retrieve and view previously submitted batches

Claim Manager

Choose Claims in Tabs at top choose Claim Manager the list of clearinghouses will appear choose the one that has 5010P in the Type Field the claims will load and you will see all the claims you have ready to go the clearinghouse to open a claim click on Expand you will be able to view the entire claim If you want to edit the claim click the Edit Claim button The Claim Information Screen will appear and you can edit the claim as needed Choose Save and OK to the question “Are you sure you want to change and save this data” Close out of the Claim Information Screen when you are done Hit the Search button to refresh your screen You can see your corrected claim

If you are not yet ready to send a claim choose the Mark as Held button This will put the claim in the Held “bucket” until you are ready to send it.

If you want to remove a claim from this list uncheck the box to the left of the Claim and hit the Search button Your claim is now removed from this batch

If you have your claims expanded and you want to print your filter list Go the the Print bar in the upper right If you don't want to print all claims up to today's date you can select by Physician Location or specific Date specific Payer Enter the criteria and hit Search and your list will come up.

If you have any claims that have errors on them they will be in the Error Claims box click on the box to see these Claims choose Expand to see the error in the red bar at the top of the claim You can choose Edit Claim to make changes to the claim right here

You can send your open claims and come back to correct the Error Claims later if you wish

Held Claims These are Claims that you have put on hold. They are waiting for you to put them back to Pending or to Mark as Manual because you don't need to send them to the Payer or the Clearinghouse. Manual Claims Claims that you are not sending electronically – or at all.

Go back to Open Claims – you will notice that the claims are all marked Pending the next step is to Create a Batch Click on the Create Batch button a box will pop up select Create New Batch your new Batch has been created the Create Batch button has changed to Submit Claims Choose Submit Claims the Claim Submission box appears and immediately a second box will appear asking you to Open or Save File – choose Save File and click OK if a box comes up asking where to save the file choose Desktop this will save the file to your Desktop close the Claim Submission box

Now all the claims are marked Filed – you have created a batch and the file is on your Desktop

Go to your Clearinghouse and upload the file.

If there is a time when you need to get back to a previous batch to resend or put back to pending Click on the Flag in the top row Choose the file you would like to re-send because the Clearinghouse did not receive them for any reason. Click the Action button – a pop-up will appear select Mark as Pending. hit Yes when it asks you Are You Sure. now your claims are put back to Pending and you can create a new submissison file to re-send them.

When you submit the claims they will be Marked as Filed