OfficeMate Home Office User's Guide - OfficeMate Software Solutions

Processing CMS 1500 Claims
Chapter 11 Processing Insurance Claims
Click OK on the Print Image Created window after the print image is
created.
Click Yes on the Do you want to move Claim records? window to mark
these claims as Billed.
OR
Click No to keep the claims marked Open.
Notes
• Claim files are located in the Officemate\DATA\EMC folder
(if you are a new user or were an OfficeMate Enterprise user
who upgraded to OfficeMate 9.0 or above) or
OMATE32\DATA\EMC folder (if you were an OfficeMate
user who upgraded to OfficeMate 9.0 or above).
• The print image file, PrintImg.txt, is located in the EMC folder.
Send the PrintImg.txt file to your insurance carrier. A copy of
the print image file is also located in the EMC folder and
identified by the first two letters of the insurance carrier’s name,
the date, and the .exp extension.
• The electronic file (NSFClaim.cnx, ANSIClaim.cnx,
MKANSIClaim.cnx, GWANSIClaim.cnx, or Nclreq.dat) is
located in the EMC folder. Send the NSFClaim.cnx,
ANSIClaim.cnx, GWANSIClaim.cnx, or Nclreq.dat file to your
insurance carrier. A copy of the NSF, ANSI, or NDCHealth -
Stratus file is also located in the EMC folder. The copy of the
NSF and NDCHealth - Stratus file is identified by the date and
the .e extension. A copy of the ANSI file is identified by the
date and the .ae extension. A copy of the GatewayEDI ANSI
file is identified by the date and the .ge extension.
• If you have multiple users creating insurance claim batch files,
or if you otherwise suspect that some batch claims are not being
sent to your clearinghouse, send the .ge files in the EMC folder
that correspond to the date(s) the batches were created. The .ge
file names start with the creation date in the MMDDYY format.
For example, if you want to send claims that were batched on
July 16, 2010, you would upload all of the files in the EMC
folder that have names that start with "071610" and end with
".ge". Send the .ge files rather than sending the .cnx file.
To view the billing history of an insurance claim, go to Using the Batch History
on page 447.
446 OfficeMate Home Office User’s Guide