Claims Attachments Sub-Tab

The Attachments sub-tab on the Claims tab includes information about electronic attachments, or reports, that are sent in addition to the electronic claim for the encounter.

The Attachmentssub-tab on the Claims tab includes the following fields:

• Attachment Report Type: Select the type of claim attachment associated with the encounter. The selected option populates PWK01. The available options are:
  • 77 - Support for Verification Referral
  • AS - Admission Summary
  • B2 - Prescription
  • B3 - Physician Order
  • B4 - Referral Order
  • CT - Certification
  • DA - Dental Modules
  • DG - Diagnosis Report
  • DS - Discharge Summary
  • EB - Explanation of Benefits
  • MT - Modules
  • NN - Nursing Notes
  • OB - Operation Note
  • OZ - Support Data for Claim
  • P6 - Periodontal Charts
  • PN - Physical Therapy Notes
  • PO - Prosthetics or Orthotic Certification
  • PZ - Physical Therapy Certification
  • RB - Radiology Films
  • RR - Radiology Reports
  • RT - Report of Tests and Analysis

• Report Transmission Code: Select how the attachment will be sent. The selection option populates PWK02. The available options are:
  • <none>
  • AA - Available on Request from Provider
  • BB - By Mail
  • EL - Electronic Only
  • EM - E-Mail
  • FX - By Fax

• Attachment Control Number: This field becomes available when a Report Transmission Code is selected. If applicable, enter a form number that allows the payer to match the claim attachment to the electronic claim. The entry populates PWK06.