If you are not using a clearinghouse to send claims to electronic billing payors, you can export 837 files manually from AlayaCare and send them directly to payors. You can download the 837 and view the details of claims included on the 837 regardless of whether you are sending claims electronically or manually for a payor.
The following ACL is required to export 837s:
- Accounting > View invoices
To view and export the 837 for a client and an electronic billing payor, go to Accounting>Billing>Electronic billing summary v2 and select the export tab.
On this screen, you will see details about all 837 files that have been generated listed with the export ID, funder (electronic billing payor), number of claims included, date exported on, export type (electronic or manual). A new export is created each time send 837 is selected for the electronic billing payor regardless of whether manual or electronic is selected as the export type.
You can filter this list by export ID, electronic billing payor code or name, export type (all, electronic, or manual), and a range of dates in which it was exported.
To download the 837, click the download button.
In the dialogue, select either .txt or .dat as the type. Then click save.
To view information about the claims included in the export, select the downward arrow next to download and select view.
In the export claim details dialogue, you can review information about the claims included in the 837 export for the payor. For each claim, you will see the claim ID (click the hyperlink to open the claim in a new tab), client, status, number of visits included, and total billed amount.
You can filter this list of claims by claim ID, client name, or claim status (all, sent, paid, or denied).