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.
