Health and Community Services

TeleClaim Frequently Asked Questions

  1. When I go into History on the Claims menu, why is there no information displayed?
  2. When I go into Patients on the Information menu, why is there no information displayed?
  3. When I make a change on a TAD will the change be reflected in my claim history?
  4. How do I know if I have any electronic TADs?
  5. What does “No TADs/Letters” mean on the TADs – Maintain – Retrieve screen?
  6. How often should I batch Claims and TADs?
  7. How often should I connect to Medical Care Plan (MCP) to send and receive files?
  8. What do I do if I have batched my claims and realized I had keyed the wrong information on many of the claims?
  9. I am using TeleClaim 5.0. Why am I receiving Paper TADs?
  10. Can I send claims from more than one location?
  11. How do I add a provider to my location?
  12. How do I remove a provider from my location?
  13. I have been informed that a patient has a new Medical Care Plan (MCP) number. What do I do?
  14. After I enter the Patient Id on a claim, I get the message “This Patient Id has been terminated. Do you wish to continue?”
  15. How can I determine which claims have not been paid?
  16. Why are there so many claims on my Outstanding report?
  17. I have a new provider added to my TeleClaim who will be using the same fee codes as another provider in my system. Do I have to enter all the fee codes again for the new provider?
  18. What type of files will I receive from Medical Care Plan (MCP)?
  19. I have picked up my remittance but I cannot see the file listed in my reports screen.

1. When I go into History on the Claims menu, why is there no information displayed?

Because of the quantity of data involved in the Claim History, it is more efficient to enter a find criteria to locate the claim. If you wish to view all the history, click one of the sort buttons.

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2. When I go into Patients on the Information menu, why is there no information displayed?

Because of the quantity of data involved in the Patient Information, it is more efficient to enter a find criteria to locate the patient. If you wish to view all the patients, click one of the sort buttons.

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3. When I make a change on a TAD will the change be reflected in my claim history?

No, the claim in the history will remain as it was entered. The updated claim information will be in TAD History.

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4. How do I know if I have any electronic TADs?

Electronic TAD files will be listed on your messages after you have connected to Medical Care Plan (MCP). Fee for Service TAD files will start with the letter “T”, followed by the provider number. Alternate Billing/Sessional TAD files will start with the letter “S”, followed by the provider number. To access the TADs in a TAD file, go to TADs – Maintain – Retrieve, highlight the appropriate file name and click the retrieve button.

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5. What does “No TADs/Letters” mean on the TADs – Maintain – Retrieve screen?

This is the number of TADs and/or Letters retrieved from a TAD file. Fee for Service and Alternate Billing/Sessional TADs can be accessed through the TADs Menu options. The Letters (i.e. Notification of Cancelled Claims) can be accessed through the Letters menu.

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6. How often should I batch Claims and TADs?

This depends on the volume of your Claims and TADs. It is recommended that you batch a MINIMUM of twice a week but with a high volume of claims you may wish to batch more often. Fee for Service Claims and TADs can be batched more than once a day for each provider however, Alternate Billing/Sessional Claims can be batched only once a day for each provider.

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7. How often should I connect to Medical Care Plan (MCP) to send and receive files?

It is recommended that you connect a minimum of twice a week. Connecting on a regular basis will ensure your claims will be processed in a timely manner and electronic TADs will be received and addressed regularly.

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8. What do I do if I have batched my claims and realized I had keyed the wrong information on many of the claims?

This depends on certain factors such as when the file was batched and if the file has been sent to Medical Care Plan (MCP). If the file has been sent to Medical Care Plan (MCP) call the Grand Falls toll free number 1-800-563-1557. If the file has not been sent to Medical Care Plan (MCP), please contact the Medical Care Plan (MCP) Electronic Claims Software Support.

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9. I am using TeleClaim 5.0. Why am I receiving Paper TADs?

A code in your provider information at Medical Care Plan (MCP) needs to be changed in order for you to receive electronic TADs. Please contact the Medical Care Plan (MCP) Electronic Claims Software Support.

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10. Can I send claims from more than one location?

Most providers submit claims from and receive remittance to one location. Providers can submit claims from more than one location. However, it is recommended that the provider bill from one location only. If the provider bills from more than one location, this will cause issues with Remittance Reconciliation and Electronic TAD Processing. Electronic Remittance and TAD Files are sent to the SAME location. (One location only)

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11. How do I add a provider to my location?

To add a provider, complete an Electronic Billing Application which can be found in the Forms section of the Medical Care Plan (MCP) Web Site. This form can be mailed or faxed to Medical Care Plan (MCP). Then contact the Medical Care Plan (MCP) Electronic Claims Software Support. An update file will be created by Medical Care Plan (MCP). When you connect to Medical Care Plan (MCP), the file will be transmitted to your computer and your software will be updated. Close TeleClaim. The next time you open TeleClaim, your location will be updated.

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12. How do I remove a provider from my location?

Before removing a provider, print/save any data you wish to retain for this provider, i.e. Remittance Information. Purge and compact the providers information by using the applicable options on the utilities menu. Then contact the Medical Care Plan (MCP) Electronic Claims Software Support. An update file will be created by Medical Care Plan (MCP). When you connect to Medical Care Plan (MCP), the file will be transmitted to your computer and your software will be updated.

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13. I have been informed that a patient has a new Medical Care Plan (MCP) number. What do I do?

Go to the Patient option on the Information menu. Find and highlight the Patient Id. Click the change button and type “TERM” in the File No field. Click Save and then Close. Click the Add button and set up the patient again, using the new Medical Care Plan (MCP) number.

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14. After I enter the Patient Id on a claim, I get the message “This Patient Id has been terminated. Do you wish to continue?”

This indicates that someone has gone into the Patient’s Information on the Information menu and changed the File No field to TERM. This is done when a patient’s id has been terminated. Choose Yes if you wish to continue with the claims. You may wish to check the status of this patient Id. If it has been terminated, the claim will reject.

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15. How can I determine which claims have not been paid?

For outstanding Fee for Service go to Reports – Outstanding – Claims. For outstanding Sessional Claims, go to Reports – Outstanding – Sessionals.

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16. Why are there so many claims on my Outstanding report?

There are several reasons why there would be claims on your outstanding report. Remittance files have been received but not yet reconciled, TADs have been received for claims that have been cancelled that will never be paid and have not been deleted from claims History, there are TADs that have not been corrected and returned to Medical Care Plan (MCP), TADs have been fixed and sent to Medical Care Plan (MCP) but have not yet been processed, a submission file was not received by Medical Care Plan (MCP) or it has been less than 3-5 weeks since the claims were sent to Medical Care Plan (MCP).

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17. I have a new provider added to my TeleClaim who will be using the same fee codes as another provider in my system. Do I have to enter all the fee codes again for the new provider?

No, you can copy the fee codes from another provider in your system. Select the new provider. Go to Information – Copy Fee Schedule. Select the provider you wish to copy from and click the Replace button.

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18. What type of files will I receive from Medical Care Plan (MCP)?

Refer to the topic “Files sent to and received from Medical Care Plan (MCP)” in the TeleClaim help.

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19. I have picked up my remittance but I cannot see the file listed in my reports screen.

Go into Reconcile – Claims and Sessionals. This will import the file name into your system. If you wish to view the Detailed or Exception report, you must first reconcile the file.

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