Switching: Claim Administration

If any changes need to be made to the claim that was filed, the user can use EDI Reversal to reverse the previously submitted claim that was rejected by the Medical Aid.

• Log in to the GoodX Web App using your GoodX username and password.
• The Diary screen will open.  

• Click on the Navigation Wheel on the Navigation Bar.

• The Navigation Wheel will open.

• Click on the Communication segment.

• The Switch History screen will open.

• For more information regarding the Switch History screen, please refer to the user manual: WA: EDI Switch History.
• Select the desired invoice that the user would like to see and view the response of.

• Click on the View Response button to view a detailed response with regards to the specific claim.

• The Switch Details screen will open.

• Click the on Reverse button to reverse the claim.

Please Note: The reversing procedure is automatic, and the user will not be informed, therefore proceed with caution while using the button.

• After clicking the Reverse button the user's claim will be reversed and the switch status will change. 

• Click on the drop-up menu next to the Save and Close button for more saving options.

• Save: The user is able to save the changes made to the form without closing the form. 
• Save Lines To New Macro: This allows the user to create a new macro.
• For an extensive explanation of the New Macro feature, please refer to the user manual: Macros (Billing Combinations).

• Click on the Save and Close button to save the Switch Details screen and close the screen to return to the Account Details screen.