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Manage EMCs (Electronic Medical Claims)

Path: Claims > Process > Process a Cycle

  1. Process the necessary billing cycle, see Process open billing cycles.
  2. Click Review EMC when the cycle's processing is finished.
  3. Select one of the following options for each claim:
  4. Submit – Includes a line item in the EMC file.
  5. Defer – Defers including a line item in the EMC file. The deferred item is copied to Late EMC.
  6. Exclude – Excludes a line item from the EMC file.
  7. Click End EMC Review to close the EMC review grid and return to the selected cycle.
  8. Close the cycle.
  9. If you want to include claims for payers that use the same BFT format in 1 file when closing the cycle, select the One EMC File check box. Otherwise, a separate EMC file is generated for each payer.

After you close a cycle, the claims are marked with the statuses defined during the EMC review process: 

  • Ready to Submit
  • Excluded
  • Deferred

 

 

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