Quick Reference — To correct PTADDRESS claims

• Verify patient demographics.
• Make necessary corrections and resubmit the claim.

Note: If after acting on this error, the claim remains in a hold status (HOLD or MGRHOLD), the claim requires additional review or work.

Note: At least one change must be made to the claim before it can be resubmitted. It is not compliant to resubmit a claim without changes only to see whether the claim will be paid if you resubmit it to the payer.

1. On the Claim Edit page, scroll down to the Claim Notes section at the bottom of the page.
2. Review the claim notes.
   • If athenahealth has researched the denial with the payer, a detailed description is included.
   • If there is an EOB or letter from the payer, click the link to review it.
3. If further clarification is needed, contact the payer directly.
4. If patient address information is needed, please refer to the eligibility details for a scanned image such as a driver's license.
5. Applies to — Select the correct insurance type.
6. Status — Select DROP.
7. Kick reason — Enter DRPPATIENT.
8. Claim note — Enter a clear, detailed note for athenaOne users, describing what actions have just been taken.
9. Click Save.