PES Manual PES Manual, PDF version
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HIPAA Transactions
Equipment Requirements
Installation Types
Autorun CD
Individual PC Installation
Network Installation »
Opening PES
Initial Logon »
Setting Up Options »
Using the Keyboard
Using the Mouse
PES Main Window
Menu Bar
Command Buttons
Screen-Specific Command Buttons »
Correcting Errors
Exiting from Forms
Exiting from PES
Lists to Build »
Preloaded Lists
Working with Lists »
Lists »
Dental »
Professional »
Institutional Inpatient »
Institutional Nursing Home »
Institutional Outpatient »
WI Medicaid & Other Insurance»
WI Medicaid & Medicare »
WI Medicaid & Medicare Managed Care »
Other Insurance & Medicare on the Same Claim
Reporting Other Insurance or Medicare Denials
Copying Batch Forms
Retreiving Batch Responses
Viewing Batch Responses
Viewing Communication Logs
Detail Reports
Summary Reports
List Reports
Archive
Restore Archive
Database Recovery »
Get Upgrades
Passwords »
Security »
Web Password Reset
Forgotten Password
Options
Installation Notes
Password Rules
Setting Your Password
Registration Enrollment
Batch Tab
Web Tab
Retention
Other Insurance Screen Buttons
Service Screen Buttons
Service Adjustment Buttons
List Appendix
Adding Codes to a List
Deleting Codes on a List
Admission Type
Admit Source
Carrier
Client
Condition Code
Diagnosis
Modifier
Occurence
Other Insurance Reason Code
Other Provider
Patient Status
Place of Service
Policyholder
Procedure/HCPCS
Provider
Revenue Code
Trading Partners
Type of Bill
Value Code
Completing New Claims
Correcting Errors on Claims
Submitting New Claims
Resubmitting Claims »
Adjusting Paid Status Claims
Voiding Claims
Completing New Claims
Correcting Errors on Claims
Submitting New Claims
Resubmitting Claims »
Adjusting Paid Status Claims
Voiding Claims
Completing New Claims
Correcting Errors on Claims
Submitting New Claims
Resubmitting Claims »
Adjusting Paid Status Claims
Late Billing for Claims
Voiding Claims
Completing Claims
Correcting Errors on Claims
Edit All Feature
Submitting New Claims
Resubmitting Claims »
Adjusting Paid Status Claims
Late Billing for Claims
Voiding Claims
Completing New Claims
Correcting Errors on Claims
Edit All Feature on Claims
Submitting New Claims
Resubmitting Claims »
Adjusting Paid Status Claims
Late Billing for Claims
Voiding Claims
Compact Database
Repair Database
Unlock Database
Changing Passwords
Security Maintenance
Reporting Other Insurance Payments
Medicare Paid at the Header Level
Medicare Paid at the Detail Level
Medicare Managed Care Paid at the Header Level
Medicare Managed Care Paid at the Detail Level
Resubmitting Single Claim
Resubmitting or Copying Partial or Entire Batch
Resubmitting Single Claim
Resubmitting or Copying Partial or Entire Batch
Resubmitting Single Claim
Resubmitting or Copying Partial or Entire Batch
Resubmitting Single Claim
Resubmitting or Copying Partial or Entire Batch
Resubmitting Single Claim
Resubmitting or Copying Partial or Entire Batch

Lists

Condition Code List

The Condition Code list is preloaded and allows you to select or modify the list of condition codes used in the institutional claim forms. As with other lists, once the code is entered into the list, it may be accessed from drop-down boxes within the institutional claim form screens. To enter or edit condition codes, follow these steps:
  1. Select the Lists option on the menu bar.
  2. Select the Condition Code list.
  3. Enter data into all of the required boxes on the Condition Code screen using the following table as a guide.

    Condition Code List

    Field

    Description

    Condition Code

    Enter the two-digit code from the Uniform Billing (UB-92) Manual used to identify conditions relating to the services that may affect payer processing.

    Description

    Enter the condition code description. The description can be up to 60 characters and spaces.

  4. Click Save to save the data or New to add a new condition code.

Next — Diagnosis List
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