Remit Setup

The Remit Setup screen provides the user with options to split their remittances. After a remit is uploaded and processed, the remittances are split with the selected option and available for download. Users with the Remit Manager Power User permission can edit this screen. The following split by options are available:

Payee: Remittances are split into multiple files each containing claim payment information records for a unique Payee Provider ID (Loop 2000 TS301). Any records that do not contain this field will be grouped together in a separate file.
Rendering Provider: Remittances are split into multiple files each containing claim payment information records for a unique Rendering Provider (Loop 2100 Service Provider NM109). Any records that do not contain this field will be grouped together in a separate file.
CLP Count: CLP Count splits remits based on the number of CLP (Claims). If CLP Count is selected, a user must enter a value in the CLP Count field to denote the maximum number of CLPs per file.
Statement Date: If Statement Date is selected, a user must select the desired date from the calendar in the Statement Date field. Once saved, remits are split into two (2) files by the selected date - one with remits before the entered Statement Date and the other with remits on or after the date entered.

To select a delivery option:

Select Remit Setup from the Remits drop-down menu.
Use the drop-down menu to select a delivery option.

If CLP Count is selected, a CLP Count field displays and the user must enter a value.
If Statement Date is selected, a Statement Date field displays and the user must select the desired date from the calendar. Once saved, remits are split into two (2) files by the selected date - one with remits before the entered Statement Date and the other with remits on the date entered.
Click Save to save the delivery option. A success message displays indicating setup is complete.
A record is added to the Audit Log for the activity.