The following instructions are for either an electronic claim or a paper claim.
Instructions
Electronic Claim
- Open an invoice.
- Ensure the invoice is in Pending.
- Access Additional Claim Info.
- In the CLIA Number field, enter the number. See Example Note: The system assigns the proper qualifier (X4) before the CLIA number when the electronic file is created.
- Click 'Save.'
- The CLIA number will not print on the HCFA (Preview Claim button).
- Click 'X' to close the invoice.
Paper Claim
- Open an invoice.
- Ensure the invoice is in Pending.
- Access Additional Claim Info.
- In the (23) Prior Auth Number field, input the CLIA number.
- Click 'Save.'
- The CLIA number will print on the HCFA (Preview Claim button).
- Click 'X' to close the invoice.