Creating EDI

Q: How can I export to HHAX?

A:  Yes, Please click here to learn more.

Q: How can I export/submit the rejected claims?

A:  To submit the rejected claims again, please follow these steps.
 
        Go the Billing -> Creating, enter the patient name, select the DOS Range/Payroll batch, 

Select ALL option from Status and Search the records.

Select the visits that you want to submit again and Click Export EDI.

Please check the Rebilling as Yes, if you are doing the rebilling.


Q: What is the complete workflow of a Visit once it is created in Visiting Aid?

A:  A visit can be created in Visiting Aid via different ways, E.g. EVV App or through Manual Timesheet etc.
      Once it is created, a Claim # has been assigned to it, that is used in EDI Export file for submission purpose. 

A Visit typically passes through following stages.

New Visit: When the visit is created  it  is  considered as  New Visit.

Pending: Every visit is being validated for Billing rules and EVV rules, if is something missing or wrong it would be pushed into Billing -> Creating -> Pending Visits

Submitted: Once the visit is exported into EDI file, it would be moved to Submitted status.

Paid: If the visit is paid by MLTC/insurance company, it would be in Paid Status.

Denied: If the visit is not paid and got denied due to any error, it would be in Denied Status.

No Response: If the visit was submitted and we got no Response (either paid/denied) from MLTC based on configured   No Response Days in Contractor Setup (Admin -> Settings -> Contractors/Payors), then  the visit would be considered in No Response, that needs billing/RCM teams attention. 

Here is the glimpse of all status color codes.