Edit Transmission File

With the Edit Transmission File function, you can edit the claims held in the current electronic claims transmission file for select patients. You can either move a claim to the paper transmission file or delete it from the electronic transmission file.

Do not use this function to correct exception errors on the Exception Report. For information on correcting exceptions, see Print Exception Report.

Since charges can enter the electronic transmission file a number of ways, CGM webPRACTICE checks for any new entries each time you access this function. If there are new entries, you will be notified that you must perform the Move/Rebuild Transmission File function prior to continuing.

Upon accessing this function, select the account you want using the standard Patient Look-up function.

A message displays if a claim for the patient is not found in the current transmission file.

If a claim for the account is located in the current transmission file a screen displays so you can move or delete the claim.

Data Field Information
Prompt Response Req Len
Insurance Carrier This field is informational only and reflects the insurance carrier code and name.   40
Performing Doctor This field is informational only and reflects the performing doctor's code and name.   40
Move Claim to Paper file or Delete Select the editing option you want. 1

NOTE: When you delete a claim from the transmission file, you are only deleting the claim from the current transmission file. It remains in the Insurance Balance on the account to be filed. The claim automatically generates into the insurance file again the next time you perform the Create Insurance File function.

To prevent an electronic claim from getting re-created during the next Create Insurance File process, you can deny the claim using the Deny Insurance Claims function or use the Reverse a Transaction function and then delete the claim from the transmission file.

You can also prevent an electronic claim from getting re-created during the next Create Insurance File process, by editing the transmission file and moving the claim to paper. Moving a claim to paper moves the charges from the electronic claims file to the paper claims file and they will print the next time you perform the Print Insurance Forms function. The claim will not be sent electronically and the insurance flag stored in the patient's transaction history will be changed from an 'E' for electronic to 'F' for paper submission. An entry will also be stored in the patient's transaction insurance ledger that the charge was moved to paper.