WinOMS: Charges are Splitting into Seperate Claims

Document created by tshaw Employee on Sep 14, 2016
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Symptoms:
Charges are splitting onto separate claims when posted.


Cause:
Something is different about each of the charges. This can include referral, authorization number, service facility. etc.


Solution:
 Edit each charge, and verify that each item on each charge is exactly the same.  If anything is different about the charge it will split to a separate claim.  Some items to check:

  • Referral attached to charges
  • Authorization number
  • Medical or dental ailment
  • Service facility attached to charges
  • Incorrect cross code or missing cross code
     
     

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