Transcript archer insurance management system
Slide 1
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 2
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 3
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 4
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 5
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 6
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 7
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 8
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 9
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 10
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 11
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 12
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 13
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 2
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 3
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 4
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 5
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 6
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 7
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 8
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 9
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 10
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 11
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 12
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.
Slide 13
Phase I Training
Replaces the need for spread sheets (Mail Logs, Employee
Production tracking, etc.)
Allows for full and complete inventory of claims and nonclaims documents which substantially increases quality
and control.
Provides for more efficient management of workflow.
Easier to view, manage and report.
No longer required to manually attach images. Now an
automated process.
Streamlines the claim import process.
Full data reporting capabilities. Filters, reports, exports,
etc.
V1.1 Phase I Archer Claims Introduction
V1.2 Claims Import – Scan, E-mail, Web, Batch (Source)
V1.3
Document Management and Assignment –
Document Repository
V1.4 Adjudication – User Processing Claims/Non-Claims
V1.5 Tips & Tricks
A document is a claim or a non-claim or combination of both. (Claims,
Medical Reports, Forms, etc.) We have 4 different document sources as listed
below.
Batch – This is used for large volumes of claims that should be
assigned as a batch. Batches can be managed as a batch
(Deleted, Assigned, etc.).
Scan - Paper Claims that are scanned to your pre-designated
server location.
e-Mail – Claims received via e-mail and then placed into
[email protected].
Web – Online claim submission at www.gbg.com (The easiest
and most secure way to submit claims).
It is a collection of all documents from different sources like Batch, Scan
and e-Mail sources. An image repository and complete inventory of all
received items.
There are multiple status’s of documents in the document repository:
Unprocessed
Incomplete
Processed
Voided
Voided Partially
A Claim is a document which is submitted by member or provider for reimbursement or
adjustment to a previous payment.
In Archer, There are 6 form types classified as follows:
HCFA
UB
Members
Providers (Directs)
Dental
Others
Each Archer Claim has a status. The status’s are as follows:
New
Registered
In Process
Pended
Processed
Documents (or Document Pages) that are linked as claims are stored in
the Claims Repository.
From the Claims Repository, Managers/Team Leads can allocate/assign
claims to users (Examiners) based on company/group/aging/dollaramount or any other assignment needed as the manager deems
appropriate.
By using filters we can generate daily production reports, individual
production reports, aging reports. All information in Archer can be sorted
and exported as needed.
A Non Claim document which is related to a claim(s) or any member/provider or
related to a group.
Non Claim Categories are as follows:
Appeals
Pre- Authorization
Contract Agreement / Price List
Itemized Bill
MHS
EOB
Residence Verification Form
Questionnaire
Medical Records
Collection Letter
W9 Form
Banking Information
Other
Documents (or Document Pages) that are linked as non claims are stored in
Non-Claims Repository.
From Non- Claims Repository, Managers/TL’s can allocate non-claims to
users (Examiners) based on the category of non-claim.
By using filters we can generate daily production reports, individual
production reports, pending reports,..
We can track pending non-claims and take action based upon follow-up
dates.
Non Claim Status’s are as follows,
New
Pended
Processed
For support on Archer Claims please contact
[email protected]
Please provide screenshots for any issues you are
experiencing. (This is done by selecting the PrtScn
button on your keyboard and pasting the screen print
into your e-mail.
We look forward to your feedback, comments and
suggestions.
Effective from the release of Archer Phase I, ALL
images, claims and non-claims items MUST be
processed in Archer.
Splitting claims. Multiple reasons to split claims in
Archer. This will be discussed later in the training
video’s.
Claims are registered in Archer and Adjudication and
all other processes continue in Bemas. Once the check
has been generated or the claim has been processed,
you must follow the adjustment process, which will be
explained later.
All users should validate the data that is being sent from Bemas
to Archer and then again back from Archer to Bemas.
Claim Managers must review the training, create a training
program for your team which includes testing in Archer Test and
Bemas Test. The process described in this video may not fit your
needs in their entirety. It will require the claims manager to
adjust the process to meet the needs of the requirement.
Claims Managers must prepare to deploy and manage the
utilization of Archer claims.
Claims Managers should create filters to validate the entry in
Archer claims is being done correctly. Daily audits/reports
should be reviewed for accuracy and to check for errors in the
process.