Claims are introduced into PC-ACE by either entering them manually or by importing them from an external source. The claim import method is ideal for facilities that maintain their claims in an upstream claims management system.
Roster billing is available for Part B providers that bill for influenza, pneumonia, COVID-19, hepatitis B, and Monoclonal Antibody (mAb) infusion vaccines.
Prepare new claim for transmission
Click the Institutional or Professional Claims Processing icon from the PC-ACE Main Toolbar.
Select MCB from the LOB dropdown.
EDI Services generates multiple reports to assist you in easily tracking your electronic claims. These reports represent different rejection levels and are available to you as quickly as possible.