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• Charge Entry Department: Team Lead allocates the batch files to Process executive to enter or update the Patient demographic information
and charges associate to the patient for particular date of service in the billing software.
• Process executives checks for valid data while entering or updating demographic information such as Patient name, DOB, Address, Sex,
Marital status, Insurance policy/Group ID and insurance mailing address.
• Process executives also checks for valid for Charges such as DOS, CPT codes, ICD codes, Billing Provider, Referring Provider, Facility
name/code and referral/pre-authorization number if available.
• Process executive completes batch files and Team Lead allocates the completed batch files to QA executive for audit.
• QA executive audit the batch files for accuracy and make changes if required.
• After completing the audit process, QA executive transmit the EDI claims to insurance companies.
• Team Lead does random audit on the batches.
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