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BTCPolEnc200711001Revised 8/31/2020
Policy No: BTCPolEnc201208001
Subject:
Edifice Rejected Encounter Removals and 45 Day Report Procedures
Approval: Encounter Policy Workgroup
Date: 09/06/2012PURPOSE
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How to fill out edifecs rejected encounter removals
How to fill out edifecs rejected encounter removals
01
Log in to the Edifecs portal using your credentials.
02
Click on the 'Rejected Encounter Removals' tab.
03
Select the encounter that has been rejected and needs to be removed.
04
Check the reason for rejection and make corrections if needed.
05
Submit the corrected encounter for reprocessing.
06
Verify that the encounter has been successfully removed from the rejected list.
Who needs edifecs rejected encounter removals?
01
Healthcare providers who submit encounter data through Edifecs and receive rejections that need to be addressed.
02
Healthcare organizations that use Edifecs for encounter processing and need to ensure accurate and timely data submissions.
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What is edifecs rejected encounter removals?
Edifecs rejected encounter removals refer to the process of identifying and removing healthcare claims or encounters that have been rejected by the Edifecs system, which is used for electronic healthcare transactions.
Who is required to file edifecs rejected encounter removals?
Healthcare providers, payers, and organizations that submit electronic claims and encounter data must file Edifecs rejected encounter removals to ensure accurate reporting and reconciliation of encounters.
How to fill out edifecs rejected encounter removals?
To fill out Edifecs rejected encounter removals, follow the designated format specified by the Edifecs system, include relevant encounter details, rejection codes, and ensure that all required fields are completed accurately.
What is the purpose of edifecs rejected encounter removals?
The purpose of Edifecs rejected encounter removals is to correct and update data on rejected healthcare claims, ensuring that accurate information is used for financial reconciliation and reporting.
What information must be reported on edifecs rejected encounter removals?
Information that must be reported includes the encounter ID, rejection reason, original submission details, and any corrective actions taken to address the rejection.
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