FH Portal-Claims Sample Clauses

FH Portal-Claims. After logging in to FH Portal, select Claims tab then select “Submit Professional Claim”. Enter patient’s MA #, Medical Record #, Referring Provider #, and total from bottom left of Superbill. Click on “Diagnosis” (highlighted in blue under patient info; far left). Enter all ICD-10 codes for items to be billed in Portal. Do not include the medications listed above (Section III). These are billed separately in the portal. Insert “Dates of Service” and “to Date of Service” (both should be the same). Enter a procedure code for one of the billable items. Modifier codes can only be used for the patient visits (i.e., New Patient 99201-99204, Established Patient 99211-99214, Exams 99384-99396…etc). Any HSPA recipient can use the modifier “AQ”. Modifier 25 can be used if provider inserts a LARC and provides other services at the same visit. Diagnosis Pointer will be used to point to each procedure code listing to all ICD-10 that apply, ie; Negative Pregnancy Test= Z30.09 and Z32.02. Make sure if the appropriate ICD-10 is not a Z30 code that you use Z30.09 as the first pointer or it will be denied. This shows that the services was Family Planning Related/Advice. More than one pointer may be appropriate or needed for a service. Enter how many units; ie; OC refills are given then you would enter the number of packs given, most often 3 packs given for OC and another example would be a LARC = 1 unit. The amount billed is the total amount of what is being charged. Place of service is always “11”.Family Planning should be marked as “Y”. Once all of the above is entered, if you have more then click the “Add” button and this will add a line and you can start over with by entering another procedure code and info, continue this process until all billable items are listed. Review the listed items to make sure you have the correct number of units, the correct codes, and correct amount charged. Then click the “Submit” button at the bottom of the page. The page will process and refresh with either “pay” or “deny” status. If items are denied, make note at the bottom left of the page. The denials will be listed separately on the Remittance Advice and can be fixed/reprocessed at a later time. If there are any prescription items that were given, these need to be billed under in FH Claims-Compound/Non-compound due to needing to include NDC and prescription numbers.