Build Batch

Claims that have been successfully entered into the ePACES system must be transmitted to the eMedNY to allow for the processing and payment of the claims. In ePACES, unless the claim type is Real Time Professional, this is called Building and Submitting Claim Batches. Real Time Professional Claims are sent directly to eMedNY without having to go through the batch process. Only claims that are in a status of "Complete" may be batched and sent to eMedNY for processing.

The Build Claim Batch page, which is accessed by clicking Build Claim Batch on the left-hand menu, consists of a table containing all non-Real Time claims that have a status other than "Replaced", "Voided", "Batched" or "Sent".

By selecting a User ID from the Claim(s) by User ID list, an Administrator or Supervisor has the ability to batch claims entered for the selected provider by the selected user. General Users who have the ability to Batch Claims do not have access to claims entered by anyone other than themselves and therefore will not have this option.

Add to Batch: This column contains the check boxes for each claim, which need to be marked in order to indicate the claim should be batched. Only claims with an Entry Status of "Complete" will have a check box, as they are the only claims eligible for batching. Clicking Check All in the header/footer of the table will mark all claims in "Complete" status to be included in the batch, while clicking Uncheck All will remove the checkmark from all claims indicating they are not to be included in the batch. This field will default to checked for all eligible claims.

Patient Control #: The Patient Control # associated with the claim will be a hyperlink to the contents of the claim in View Mode. If you click the link and view the claim, you must select the Build Claim Batch menu item again to return to this page.

Entry Status: Claims which have gone through, either completely or partially, the entry process and have an Entry Status of "Complete", "Draft", or "Errors" will be displayed. Claims with an Entry Status of "Replaced", "Voided", "Batched", or "Sent" will not be included in the list as they have already been through the complete claim batching process.

Client ID/Client Name: This information is included for reference purpose only to ensure you are selecting the proper claim.

Type of Claim: You may select any combination of claim types, Institutional, Professional, and Dental. When a batch is built, the ePACES system will separate the claims into individual batches based on the claim type and Location Information. Therefore, if you select 10 Institutional and 5 Professional claims and click Build Batch, the end result will be 2 separate batches of 10 institutional and 5 Professional claims, assuming the location information on each claim is the same.

Total Charges: Formatted with commas and a dollar sign, the sum of all Service Line charges for the Completed claim. Claims which do not have an Entry Status of "Complete" will not have a value displayed.

Once all desired claims have been marked, click the Build Batch button. This will open the Confirmation page, summarizing the batches that were built.