ICANotes+ enables you to submit claims to secondary payers, with the option to include payment details from the primary payer.
This article provides instructions on submitting claims to secondary payers, including how to choose whether or not to include primary payer details.
Note: Please ensure that the payment details are recorded through ERA/MPP before submitting a claim to the secodnary payer.
Before submitting to a secondary payer, ensure your primary claim was successfully submitted. See Submitting Claims to Clearinghouse for help with the initial submission.
Claims can be submitted to a secondary payer from the Billed Encounters tab. The client must have a secondary payer listed, and the claim must have already been submitted to the primary payer either through the ERA (Electronic Remittance Advice) or MPP (Manual Payment Posting) process.
Navigate to Billing Worklist > Billed Encounters tab, select a claim and then click the Create Secondary option from the Actions dropdown.
Note: The option to submit to the secondary payer will be disabled if the claim has been manually moved from the Unbilled to the Billed tab, or if the client does not have a secondary payer recorded.
The Create Secondary screen appears as shown below:
Payer: Displays the secondary payer to which the claim will be submitted. To change the secondary payer, use the dropdown menu.
Include Primary: By default, the system will send the primary payer's information, including payment details, to the secondary payer. If you prefer not to send the primary payer details, clear the checkbox.
Save: Click this button to send the claim to the secondary payer later after reviewing the details. This action moves the encounter to the Unbilled tab. A message will appear as shown below upon saving the details.
Save & Submit: Click this button to submit the claim to the secondary payer. A success message will confirm submission, or, in the event of an error, a .csv file will be provided to correct the issue and retry the submission process. The following message appears on successfully sending the claim to the secondary payer.
When submitting a saved claim to the secondary payer, the following screen will appear. By default, the system will send the primary payer's information, including payment details, to the secondary payer. If you prefer not to send the primary payer details, clear the checkbox from the Include P/S column.
Can I choose whether to include the primary payer information when submitting a claim to a secondary payer?
Yes. By default, ICANotes+ includes the primary payer information, including payment details, when submitting a claim to the secondary payer. You can clear the checkbox if you do not want to include this information.
Why is the Create Secondary option disabled?
The Create Secondary option is disabled if the claim was manually moved from the Unbilled tab to the Billed tab, or if the client does not have a secondary payer recorded.
What is the difference between Save and Save & Submit?
Save stores the secondary claim details for later submission and moves the encounter to the Unbilled tab. Save & Submit immediately submits the claim to the secondary payer.
What happens if a secondary claim submission fails?
If the submission encounters an error, ICANotes+ provides a .csv file that you can use to correct the issue before retrying the submission.
Can I change the secondary payer before submitting the claim?
Yes. On the Create Secondary screen, you can select a different secondary payer using the Payer dropdown.
When submitting a previously saved secondary claim, can I still choose whether to include the primary payer information?
Yes. When submitting a saved secondary claim, you can include or exclude the primary payer information by selecting or clearing the checkbox in the Include P/S column.