A. Managing Secondary Claim(s): Select the Secondary Billing Manager Tab under the Billing Tab.


See below the steps to manage secondary claim(s):

  1. Sort by (1) selection - Select one of the options to filter the data.
  2. Make a selection based on the above step.
  3. Sort by (2) selection - optional
  4. Click the Get Claim(s) button to view manage claims in TherapyPMS. 
Before procession secondary billing, ensure these steps are followed:
1. Enter the Secondary Insurance information while creating authorization
2. In case of automatic posting, the secondary claims would automatically populate to this tab. 
3. In case of manual posting, while applying payment, ensure the status is selected as "Secondary Responsibility" or "PR Copay" or "PR Ded" or "PR CoIns" or "Patient Responsibility".

B. Managing Claim(s) data table - See below the information available in the table.

  1. Claim Number
  2. Payor Name
  3. Patient Name
  4. The date range of the claim
  5. Total claim amount
  6. F. Billed date
  7. L. Billed date
  8. Billed to CH
  9. Action
    1. View HCFA - Click the option to view the HCFA form.
    2. Download EDI file - Click the option to download the EDI file. 
    3. View History - View the brief history on any changes or updates to the claim. 
    4. Corrected Claim - Click the option to the corrected claim.


C. Drop-Down Selection - Select the claims using the checkbox(s) use the drop-down option and click the Save/OK button.

  1. HCFA with Background
  2. HCFA without Background: 
  3. Push Ability/Waystar SFTP: Push the claims to the clearing house. 
  4. Show Details: This provides a detailed information on the claim and provider further drop down option.



D. Further Options - Select the claims using the checkbox(s), click on the Show Details from the drop-down option and make changes.

  1. Update Modifer: Update the modifers for the claim.
  2. Update Provider 24J: Update the Provider 24j for the claim. 
  3. Copy Modifer from Contract Rate: Copy the modifers from the contract rate.