How do I enter Attachment Control Number (ACN)?
Attachment Control Number (ACN): Enter the number selected by the provider that matches the ACN submitted on the electronic claim. The ACN can be any alphanumeric entry between two and 80 characters in length. Provider Number: Enter the provider number of the billing provider.
How do I enter an ACN number in a claim?
Enter the ACN in the Remarks for Unusual Services section of the claim in the format of ACN#. There cannot be any spacing between ACN and the actual number. For example, if you use an ACN of 12345, the information entered in the remarks section on your claim should read ACN#12345.
How do I enter an ACN for an unusual service?
This ACN can be any control number you choose to use. Fax the attachment (EOB, x-rays, etc.) to the insurance company. Enter the ACN in the Remarks for Unusual Services section of the claim in the format of ACN#. There cannot be any spacing between ACN and the actual number.
What is the Medicare provider number (CCN)?
The Medicare Provider Number is also known as the CCN(CMS Certification Number). This is the six-digit Medicare certification number for a facility. Graphics N/A
Where is the ICN number located on a claim?
The Medicare ID and Internal Control Number (ICN) [also referred to as the Claim Control Number (CCN)] are on the same line as the beneficiary's name.
What is the Pwk loop on a claim?
PWK (Paperwork) is a segment within the 2300/2400 loop of the 837 Professional and Institutional electronic transactions and allows you to indicate on a Part A or Part B electronic claim that you're submitting additional documentation via mail or fax (PWK 02 segment, BM [by mail] and FX [by fax] qualifier).
What is Medicare Pwk mean?
Medical Review Fax Process for Paperwork SegmentThe paperwork segment of an electronic claim submission is commonly known as PWK. The PWK process allows you to utilize the cost effective electronic data interchange technology and if you choose to submit paper documentation at the time of the claim submission.
How do I add an attachment to an electronic claim?
Go to Patient Demographics->Case-> 'Others' tab-> “Attachment Information”. Enter attachment information; the fields in the Attachment Information section are mapped to PWK segment in electronic claims; see Image 1.
What is Loop and segment?
Each individual loop on an electronic claim has a segment component where the data is entered. The loops and segments contain the readable information that provides the clearinghouse the identifying information for the claim that was filed.
How do I read a 837 file?
How to Read an EDI (837) File - OverviewNavigate to Filing > CMS-1500.Find the electronic claim you want to view and select the. icon.Click View EDI File.
What is the ACN number on the Pwk form?
Attachment Control NumberReport the Attachment Control Number (ACN) - This number may be assigned by your software or can be any number you chose including the patient account number or other identifying number. Only the first iteration of the PWK, at either the claim level and/or line level, will be considered for adjudication.
Where do I find the attachment control number?
The Attachment Control Number (ACN) selected by the provider must be indicated on the cover page in order to match the electronic claim with the paper attachment.
What is the format used for electronic claims?
The 837P (Professional) is the standard format health care professionals and suppliers use to send health care claims electronically. The ANSI ASC X12N 837P (Professional) Version 5010A1 is the current electronic claim version.
What is an electronic claim?
An “electronic claim” is a paperless patient claim form generated by computer software that is transmitted electronically over telephone or computer connection to a health insurer or other third-party payer (payer) for processing and payment.
What is a claim attachment?
Claim attachments are supplemental documents providing additional medical information to the claims processor that cannot be accommodated within the claim format. Common attachments are Certificates of Medical Necessity (CMNs), discharge summaries and operative reports.
What is ACN number?
Attachment Control Number (ACN). This number may be assigned by your software or can be any number you chose, including the patient account number or other identifying number.
What is the ACN field on a fax?
Key any number you chose including the patient account number or other identifying number in the Attachment Control Number (ACN) Field. Whatever you key in this field must be put in the Attachment Control Number (ACN) Field on the fax cover sheet.
How to send medical documentation on PC-ACE?
PC-ACE Users can send medical documentation by completing the appropriate sections of the claim form screen and using the Medicare Fax Cover Sheet for Submitting Unsolicited Paperwork (PWK) Segments.
Where is the ICN number on a 277CA claim?
The ICN / DCN number must be obtained on the 277CA claims acknowledgement report after submitting the electronic claim. The ICN / DCN is located in the 2200D REF segment. If you do not normally receive the 277CA or do not know how to retrieve it with your software, please contact your software vendor.
How many patients can you fax on one cover sheet?
Only fax documentation for one patient per cover sheet.
Does Medicare have to be submitted electronically?
Under the Health Insurance Portability and Accountability Act (HIPAA), claims for reimbursement by the Medicare Program must be submitted electronically, except where waived, even for claims with attachments.
How long do you have to notify the Board of Medicine of a change of location?
You must notify the Board of Medicine office within 30 days of changing locations.
Can an ACN physician practice in an approved facility?
Their scope of practice is not limited but an ACN physician may only practice in an approved facility.
