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Post by KizerOpt on Nov 12, 2014 13:50:50 GMT -6
Situation - patient has primary and secondary policies with the same insurance company (ie Cigna) first being hers, second being spouses, Crystal does not allow transfer to the secondary insurance. It says insurance cannot be transferred to itself. I then tried to transfer from patient to the secondary insurance, and the cms still shows the primary id. This has been an occasional problem in the past, now it seems full-time. Please fix the program to recognize insurances by the insured id and/or group number.
Karen
Update - found out Crystal is not recognizing the secondary insurance if it is same company as primary, even with different id. Crystal is working on it now. |
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Post by vaderkty on Nov 21, 2014 17:20:12 GMT -6
I had a similar issue which prompted me to rename the insurances Medical, Vision Exam 1, Materials 1, Vision exam 2, and Materials 2. The plans have helped distinguish between the "same" BCBS, Aetna, Eyemed, etc. Have you tried setting up plans in order to fix? You can merge your previously long list (If you had one for auto calculation) into the plans by adding plan and copying/merging info from the original to the plan (or vise versa) I always forget which way to merge but I also back up and re install if I "F" up and do the opposite and all is right in the world  |
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Post by KizerOpt on Nov 24, 2014 8:40:25 GMT -6
If you change the name, doesn't it affect the insurance name on the CMS?
Karen
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Post by vaderkty on Nov 25, 2014 9:07:53 GMT -6
If you change the name, doesn't it affect the insurance name on the CMS? Karen You can work around it by manually changing the name on the insurance page. I recently switched to ansi billing and thta has helped more than anything else. it doesn't even look at the name. just box 10 in payer iD. I have have great success with this with NO mapping issues with my billing company. |
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Post by KizerOpt on Nov 25, 2014 9:59:23 GMT -6
If you change the name, doesn't it affect the insurance name on the CMS? Karen You can work around it by manually changing the name on the insurance page. I recently switched to ansi billing and thta has helped more than anything else. it doesn't even look at the name. just box 10 in payer iD. I have have great success with this with NO mapping issues with my billing company. That could be good. I've switched, primarily for BlueCross electronic claims and corrections. Still kind of a headache trying to figure out when something is missing, what is missing, but primary claims mostly do ok. If that's the case with the name, I'll be more interested in playing with the plans and names....maybe.  |
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Post by vaderkty on Nov 25, 2014 10:36:14 GMT -6
It's definitely worth the headache.
Have someone from crystal walk you trough the merge part just in case it is in wrong direction. BACK UP YOUR INSURANCE DATA FIRST!
I would be happy to use my computer as an example for you if crystal would like to log in with you and me together if that helps you at all. I can show you which one I merged and corrected.
Worked out fine. I use Trivetto. very easy and inexpensive. It will tell you which claims have issues, you work on them and resubmit. Quite easy to use and they have great tech support. I bill EVERYONE through them. CMS form in crystal will tell me if something is wrong and adding to batch will catch anyone else as well.
The only thing you have to be careful off is the claims added and then edited to a different insurance. They STILL do not add to batch directly. you have to track them or train staff to add to batch as soon as they update.
Crystal is aware of issue and is working on a fix but a heads up that it doesn't automatically helps!!! I had to find out the hard way!
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