The Medicaid Electronic Cash Receipts Supplementary Files will undergo a change effective February 20th, 2006 (cycle 1487). Upon implementation, each file will provide more detailed information for denied claims.

Downloading Supplementary Pending and Denied  Claims:

Go to www.eMedNY.org , and click on Login eXchange to log on.

In the 'in-box' find the file with the appropriate date and with a file name: R..835s.... .SMD

(Verify that you have the correct file by opening it and finding your TSN and Provider number in the beginning of the file.)

Click on the file to download, and click Save. At Save as Type select All Files.

At File Name specify SYYMMDD.dat (where YY is the year, MM is the month and DD is the day of the date associated with the file you are downloading.)

At Save In specify the appropriate directory that you created in step 1b above (e.g., r:\rhs\volb\CASH or CASHXXXX).

On CHARTS run program SUPL835, Supplementary Pended MA Claims, [AR, 4, 14]. NOTE: Do not run this program if you are in the middle of a Room and Board cash receipts, it will override your cash receipt entries.

The following screen appears:

               SUPPLEMENTARY 835 DOWNLOAD - Medicaid NY Pended Claims

Device No.: ▬▬▬ PC Filename: ▬▬▬▬▬▬▬▬▬▬▬▬

Disk File to  --> File : ________ in Library: ________ on Volume:        
Create or Use

Create Cash Receipts File: N

Cash Receipts --> File : CRRB0038 in Library: WORKLIB_ on Volume: VOLR__
Temp File

Print Pended Claims: Y

Print Denied Claims: Y

Print Option: P

Device No. and the PC Filename should be left blank for NT/Novell/Windows systems.

Device No. and the PC Filename should be filled in for Unix platforms ONLY.

At "Disk File to Create or Use --> File" type SYYMMDD  (where YY is the year, MM is the month and DD is the day, as specified above.)

At Create Cash Receipt File the default is set to N, not to post any records, because little is gained by posting a zero cash receipt. Also, Claim Reference Numbers on Pended claims are meaningless. Leaving this set to N will give you a detailed listing of your Pended claims - without any postings.

Leave all other fields as initialized and press ENTER.

Run CHARTS program RBRECEPT, Post Room and Board Receipts [AR, 4, 2] to post the cash receipt records. On the Billing Type selection screen place an X alongside Medicaid and press ENTER. You will then be prompted with 'S' to Save or 'B' to Begin New File. Type 'S'. At this point you are ready to list and then post your cash receipts.

Be sure to review the printouts before posting.

If you have any additional questions please feel free to call client service at (718) 338-2400.

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