Manage deferred EMC

Path: Claims > Process > Late EMC

1. Go to Claims > Process > Late EMC.
2. Review the list of deferred claims grouped by the pay source.
   1. The OASIS, NY FFS DCN, PECOS, CTI, F2F and UTNcolumns, if selected, indicate the reason for automatic claim deferment. You cannot submit the claim until these reasons are resolved (the check boxes are clear).
   2. For a detailed description of each column, see Late EMC Window.
   3. Claims can also be deferred due to unsigned or supplemental orders. This reason is not displayed in the Late EMC window so you have to check it manually.
   4. After resolving the reason, reopen the window for that change to take effect.
3. If you want to ignore the NY FFS DCN deferment reason for all deferred claims, click NY FFS DCN Override.
   1. The NY FFS DCCN check boxes are cleared and if there are no other reasons for claims deferment, they can be submitted.
   2. If you want to ignore the deferment for a missing or unapproved UTN, click the UTN check box. However, after the initial grace period of three months, if a final claim is submitted without the pre claim review, the final claim will be subjected to a 25% payment reduction.
4. Select the claims that you want to submit or exclude using the check boxes in the corresponding columns.
   1. Submitting means that the EMC file is generated and is ready to be sent to the payer.
   2. Use excluding if you do not want to generate an EMC file for the particular claim.
   3. The submitted and excluded claims disappear from the Late EMC window after processing.
   4. You can use the following buttons in the bottom of the window to make selections quickly:
      1. Expand All or Collapse All – Changes the view from detailed (expanded) to summary (collapsed).
      2. Select Type – Submits all claims of the particular payer.
      3. Submit All, Defer All, or Exclude All – Submits, defers, or excludes all claims that are displayed in the window.
5. If you want to include claims for payers that use the same BFT format in one file, select the One EMC File check box. Otherwise, a separate EMC file is generated per payer.
6. If you want to save your selections but do not want to process claims, click Save. All your changes are preserved the next time you open it.
7. Click Process to process the claims. Important: You can process claims only if at least one claim is selected to be submitted. 
8. The Late EMC Register report opens, displaying the EMC file path and information on included and excluded claims. You can now navigate and use the generated EMC file.
9. Print or save the processing results, if needed.