Don’t Have All Those Loop & Segment References Memorized?  No Problem – This Might Help

When you have electronic claims rejections, the clearinghouse often includes these Loop and Segment references.  If you don’t know what these loop and segment references mean, don’t feel too badly because we don’t know what they mean either.  Luckily though there is a reference guide that can help explain.

In this short video, learn how to create a desktop shortcut for yourself so that you can quickly access the information and look up these references.  This way the explanations you are looking for are now at your fingertips.

Watch the video here…

 Video Transcript:

In this video we’re going to show you how to set up a shortcut on your desktop that’s going to explain what all those loop and segments are. So when you get a rejection in Revenue Management or from your clearing else or even from the insurance company. Most of the time they’re going to include that was a rejected for a certain loop and segment number. This is going to help you make heads or tails and how to actually fix it.

First thing we want to do is on the desktop we go to an empty spot where there are no icons and right click and choose New, Shortcut, and then we’re going to browse into this PC. We’re going to go to our Medisoft folder and the Bin, and we’re going to scroll down until we get to that one file. It’s one of those files that’s kind of hard to find unless you know what you’re looking for. We’re going to look for MedisoftHelpAIIANSI. Then we click on next, we’re going to name this just to make it easier, Loops and click finish. There’s our desktop shortcut to those loop and segments.

When we get a rejection and let’s say that it was going to be on loop, here we go let’s just go click one out of random, Loop 2000B Segment HL. We click on that and it’s going to tell you everything about where that loop and segment is. If it’s right here, if it’s loop and segment HL01 it tells you all that stuff. The most common one is 2010AB Pay-to Provider Name, it tells you here again where it all is. If it’s Loop2010AB Segment N2 tells you right here, segments not used; For segment N3 it tells you where it’s point from practice information.

Same here if it was rejected because of Loop2010AB Segment N3 then we’re going to know that it’s probably the Pay to Address 1 and this is where you find it, it’s going to be in the Practice information, Practice Pay To tab, Street 1. It tells you exactly where that loop and the segment is pulling from so you can repair it, re-submit the claim and get that claim paid.