This article provides expanded setup instructions and detailed workflow guidance to help ensure the Print Claim service is configured and used correctly. It outlines key steps, helps minimize potential errors, and offers a clearer understanding of how to successfully submit and process paper claims through the print service.
What is RXNT’s Print Claim service?
RXNT’s Print Claim service allows claims to be submitted electronically using a CPID designated for paper claims. Once submitted, the claim is converted into a paper claim form and mailed to the payer address listed on the electronic claim.
What changes are being made to the Print Claim service?
- With the migration to the Relay Exchange clearinghouse, the Print Claim service is now fully restored. However, there are important changes to how claims must be configured and submitted.
- Previously, customers used the Payer ID “SPRNT.” This is no longer valid. Customers must now use updated CPIDs to ensure Relay Exchange correctly prints and mails claims.
Important setup requirements
To ensure claims are processed correctly, it is essential to properly configure payer settings within Billing Utilities.
When setting up or updating a payer for Print Claim service:
- Navigate to Billing Utilities within the Billing product
- Select Practice Setup, then click Insurance Companies
- Choose an existing payer or click New Payer to create one
- This will open the Payer screen
On the Payer screen:
- Select the Custom Payer checkbox
- Enter the payer name and complete mailing address
- Enter the appropriate CPID based on:
- Claim type (Professional vs. Institutional)
- Claim filing indicator (Commercial, Medicaid, Blue Cross Blue Shield)
- Type of health insurance
Critical:
Because claims are submitted electronically to Relay Exchange for printing, the Primary Claim Filing Method must be set appropriately when using these CPIDs. This ensures the system correctly routes the claim for print processing rather than standard electronic submission.
Additionally, it is recommended to:
-
Enter the payer’s standard electronic payer ID when available
- This supports secondary or future claims that may require electronic submission
Proper payer setup within Billing Utilities is essential to prevent errors and ensure claims are routed correctly through Relay Exchange.
Professional Paper CPIDs
- 4320 - Commercial Payers
- 4322 - Medicaid
- 4323 - Blue Cross Blue Shield
Institutional Paper CPIDs
- 4350 - Commercial Payers
- 4352 - Medicaid
- 4353 - Blue Cross Blue Shield
Please note:
-
Relay Exchange does not maintain payer address data
- If the payer address is incorrect, the claim will not reach the payer
- Any claims submitted using “SPRNT” must be resubmitted with the updated CPIDs
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Once paper claims are mailed, tracking is not available
- Users must follow up directly with the payer for status updates
Workflow tips:
- Claims submitted to Paper CPIDs follow a similar workflow to electronic claims.
- Claims will go through the same clearinghouse scrubbing as electronic claims
- Rejections will appear in RXNT and should be worked as usual
- Once a claim passes clearinghouse edits, the claim will be printed and mailed to the payer.
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