Professional Claim Entry
Facility Claim Entry
Claim Lookup
Gender
Undefined
Male
Female
Date of Birth
Claim Type
Commercial
Medicare
Medicaid
Line
Beg DOS
End DOS
Procedure
Modifier
Code Type
Diagnosis
Units
POS
Specialty
Amount
1
ICD-10
ICD-9
2
ICD-10
ICD-9
3
ICD-10
ICD-9
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Terms and Conditions
PORTAL ENTRY TIPS:
To ensure the most accurate editing results, please make sure ALL fields are populated as appropriate.
MODIFER - More than one modifier can be entered in this field with the values separated by commas, no spaces. (Example: 51,59)
DIAGNOSIS - More than one diagnosis code can be entered in this field with the values separated by commas, no spaces. (Example: K635,D128)
AMOUNT - Enter a dollar amount greater than $0.00. Exact billed charges are not required, but do not leave the value at $0.00.