Practice Management on Embodia - Part 3: Billing - What kind of response can I expect?
TELUS eClaims
Video tutorial: Direct Billing with Embodia (How to submit an eClaim)
Introduction
Enabling and adding your TELUS eClaims credentials
What kind of response can I expect?
Obtaining patient's authorization and consent
Predetermination claim - not associated with an invoice
Predetermination claim - associated with an invoice
Submitting a claim
What happens when a claim is accepted?
Nullifying a claim
Storing patient policy details
When and how should I expect payment for a claim?
When you submit a claim or a predetermination claim through TELUS eClaims, a response will be returned within a few seconds. The following list is the different kinds of responses that you can expect:
- The claim can be accepted: This will return an Explanation of Benefits (EOB) that outlines how much the insurer will cover from the submitted claim;
- The claim can be rejected: This will return a Claim Rejection Notice with additional information on why the claim was rejected;
- The claim can be pending: This will return a Claim Acknowledgment response that the claim has been “Accepted for further processing”, but a final decision cannot be returned at this time;
- The claim can result in an error: This will return a description of the error and how it can be fixed.