Search the eligibility file for
*~
This indicates a missing field. To search the file go to Billing > HIPAA Transactions > View HIPAA Transactions. Select the payer and then click on the .270 eligibility file. In the "Search for" field at the top of the screen key in " *~ " and then click on the Search For button. The characters will be highlighted on the screen.
The two most common missing fields are HIC#, which should be indicated on the Referral under the Payer tab; and ICDs, which should be listed under Patient History > ICD History.
- Determine what is missing.
- Correct the missing information by adding it onto the chart(s).
- Recreate the eligibility file.
- Resend the eligibility file.
- Wait to receive the response.