HOW TO USE ELECTRONIC BILLING

TPS2000 is setup to produce two types of electronic submissions. You may create what is called a “Print Image Text File” or you may use the 837 Health Care Professional (ANSI 4010) electronic submission form.

The Print Image file takes the information from your billing forms and prints the data in a file instead of to your printer. This format will most closely resemble the HCFA General Red format.

Most electronic billing clearinghouses will accept a “Print Image Text File”, however, contact your clearinghouse first to be sure that your clearinghouse will accept it.

TPS 2000 has been tested to properly submit electronic billing to the company ECLAIMS.COM. This is an Internet based clearing house. To sign up with ECLAIMS.COM or to get more information, go to the web site ECLAIMS.COM. Then just follow the instructions on the site.

SETTING UP YOUR FILES FOR ELECTRONIC SUBMISSION

Selecting the files to be transmitted electronically is as simple as editing your Carrier Information form. Click on the “open file folder” on your Navigation Icon Bar to get the Select Files menu. Click on Carrier Information. This form opens to a Cash Carrier, click on the Show List of Records icon on the far right of your Navigation Icon Bar. Find the first carrier for whom you will be submitting electronically and double click on the carrier name to load this carriers form. In the field “Claim Form” use the drop down arrow to see the list of HCFA forms. Choose the form E-CLAIM Electronic Billing Form.

Find the next carrier for whom you will be submitting electronically. Repeat the above steps until you have selected each carrier that will be billed electronically.

TO BILL ELECTRONICALLY WITH PRINT IMAGE:

When you do your bill carriers, TPS 2000 will create the paper claim forms as well as the electronic file for transmission.

Tag all bills for printing then click on Print Bills, the patients whose carrier has been set to the E-CLAIM Electronic Billing Form will place it’s bills in the file; ECLAIM.TXT. You will have the option to Overwrite the ECLAIM.TXT file, or to Append to this file.

Overwrite – When you choose to Overwrite this file, you completely replace the data that was in this file from previous bill batches. If you transmit this file every time you bill, you want to choose Overwrite.

Append – When you choose to Append this file, you ADD additional bill batches to the data that was in this file from previous bill batches. If you will be doing several bill batches throughout the day or the week and wish to transfer the file ONCE, then use the Append.

After you have finished printing your bills, transmit the ECLAIM.TXT file to either ECLAIMS.COM or your own Clearing House per the instructions of that company.

PRINT IMAGE GUIDELINES

P
Patient Claims – 1^st Responsible Tab

Patient Claims – General Tab

Patient Claims – Visit Info/Misc Tab

Patient Claims – 2^nd Resp Tab

Clinic Information

Carrier Doctor Numbers