Click the 
icon in the Claim Detail table to refresh the page and display information about the claim line item selected.
View or update the claim details in the following fields as necessary:
Use this tutorial to view or update a transportation claim on the Transportation Claim Entry page.
Complete the following steps to perform this tutorial:
Display the Transportation Claim Entry page.
Click the icon in the Claim Detail table to refresh the page and display information about the claim line item selected.
View or update the claim details in the following fields as necessary:
In Auth #, enter an authorization number and press the Enter key on your keyboard.
In Patient Acct., enter the patient account number.
In Travel Date, enter the date on which the travel occurred. For more information about entering dates, see the Calendar Controls topic.
EI Code displays the EI identification number and description.
In Provider, select the service provider from the drop-down list.
In Units, enter the total number of units charged for the claim. You can enter up to 4 numeric digits in this text box. 1 unit equals 15 minutes of service time, 1 item, 1 mile, or 1 trip (as applicable).
Unit Conversion displays the current unit conversion where 1 unit equals 15 minutes of service time or 1 item (as applicable).
In Prior Auth #, enter the previous authorization number.
In Amount Submitted, enter the dollar amount of the claim.
In Amount Received, enter the dollar amount of the claim that has been received.
In Units, enter the total number of units charged for the claim. You can enter up to 4 numeric digits in this text box. 1 unit equals 15 minutes of service time, 1 item, 1 mile, or 1 trip (as applicable).
In Last FR Source, select the source from the drop-down list.
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NOTE: Click the DMA Notification button to add a DMA notification. For more information, see the Tutorial: Add a DMA Notification topic. Click the Overrides button to add a claim override. For more information, see the Tutorial: Add a Claim Override topic. Click the EOB button to add a document to the document library. For more information, see the Tutorial: Add a Document to the Document Library topic. |
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NOTE: Asterisks (*) indicate which fields are required on the page. If required information is missing, an error message displays at the top of the page after saving the data. |
Click Save. The Transportation Claim Entry page displays with the undated information in the Claim Detail table.
Version 1.6
