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

Professional Claims

Submitting New Professional Claims

Once you have completed the form and have saved the information, you are ready to submit the claim to the Division of Health Care Financing (DHCF) Electronic Data Interchange (EDI) Department.

All forms are submitted by batch. To submit new claims, follow these steps:

  1. Click Communication on the menu bar.
  2. Click Submission. The Batch Submission window
    will display.
  3. Select "Web Server" from the Method box.
  4. Select "Medicaid" or "WWWP" from the Program box.
  5. Click on the appropriate form type(s) under Files to Send.
  6. Click Submit.
  7. PES will post messages in the Transmission window updating you on the progress of the transmission.

Example of Batch Submission screen.

Tip

To prevent submission of a specific claim(s) within a batch, save the claim(s) as incomplete ("I" status) by inserting a tick mark ("~") in any of the form’s fields and pressing Save.

 

Tip

You may only submit claims that have a status of “R.” All claims in “R” status will be submitted when you perform a batch submission.

 

Tip

To ensure a successful transmission, establish a dial-up connection before submitting claims.

Next — Resubmitting Professional Claims
Previous — Correcting Errors on Professional Claims