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The BillingBuilder feature in the AWARDS Fiscal module enables users to bill payers for services provided to clients and recorded in AWARDS.  Payers can include Medicaid, Medicare, private insurances, self-paying clients, or any other third-party payer that accepts the 837I or 837P electronic billing file, HCFA paper claim forms, or printed invoices. 

Required Permissions

Use of the BillingBuilder requires the following permissions:

Display BillingBuilder Button
Display Executive Administration Buttons - OR - Display Fiscal Buttons (only required if you are not a member of the "Fiscal Staff" or "Executive Officer" user groups)

  NOTE:  Permissions are assigned using the Permissions Maintenance feature.  If you do not have access to that feature and need a permission listed here, please contact your supervisor or your local Help Desk for assistance.

Functionality Features 1

The BillingBuilder functionality is comprised of the following features.  Click a link below to access the Online Help pages for the corresponding feature.

BILLING SETUP - Learn to use the setup components of the BillingBuilder to prepare it for processing claims.

BILLING PROCESSING - Learn to use the processing components of the BillingBuilder to process claims.

A/R MANAGEMENT - Learn to complete various accounts receivable data entry tasks.

REPORTS - Learn to view available billing reports.

FootholdConnect Event Recordings

  NOTE:  Recordings marked with a red asterisk (*) were made prior to deployment of significant AWARDS enhancements and do not reflect those changes; however, the overall content is still relevant and useful.

COVID/Telehealth Modifications - Configuring AWARDS Billing to Add Telehealth Procedures (1 hr 50 min) - March 18th

COVID/Telehealth Modifications - Emergency Billing for PROS in AWARDS (59 min) - April 22nd

iKnow - BillingBuilder (1 hr 36 min) * - September 2017

Join us for a discussion of the various ways agencies are using the BillingBuilder, setup strategies, troubleshooting, and using reports.

New Features & Functions - Change Health Clearinghouse and Portal Demonstration (51 min) - March 2018

Join us as we take you through our new Change Healthcare Clearinghouse service.  This add-on service provides a wide variety of benefits to BillingBuilder agencies, including direct transmission of 837 claim files from AWARDS to Change Healthcare, and direct receipt of 835 remittance files from Change Healthcare into AWARDS, thereby removing the need to store these types of files on a user's device.  In addition, implementation of this service streamlines an agency's claim submission and adjudication process, resulting in faster claim responses, and also provides access to the powerful data tracking and reporting capabilities found in the Change Healthcare Portal.

User's Conference Continued - Cleaner, Faster, More Secure Claims Processing (60 min) * - June 2018

Learn about the benefits of clean, accurate data collection (demographics, diagnosis, entitlements, services), and seamless claims processing using the new Change Healthcare clearinghouse connection within the BillingBuilder.

User's Conference Continued - Exploring the 837 Claim File (1 hr 10 min) * - July 2019

Do you want to better understand how AWARDS populates 837 claim files? Of course you do! So don't miss this interactive session which explores the complex relationship between AWARDS data and the various 837 data segments.  (Click here for exclusive content referenced during this recording.)

User's Conference Continued - Pruning Your A/R and Reporting Process (1 hr 4 min) * - June 2016

Learn how to refine your agency's billing posting process to provide more accurate financial reporting.  In this session from our 2016 EXPO we provide an in-depth walk-through of fiscal periods functionality and management in the AWARDS BillingBuilder module to provide clarity on the direct linkage to sound reporting.  We also discuss various BillingBuilder reporting options to illustrate how data can be obtained and exported from AWARDS.

Related Documents

AWARDS Instruction Sheets, Tip Sheets, and Quick Reference Guides

BillingBuilder - "Are You Ready to Bill?" - Tip Sheet

BillingBuilder - Emergency PROS Billing Guide - AWARDS Information Sheet * (NY - PROS Programs)

BillingBuilder - Managed Care (MCO) Setup for Hard Coded Billing - Quick Reference Guide

BillingBuilder - Sending Service Authorization Code 7 in an Electronic Claim File - Quick Reference Guide

BillingBuilder - Telehealth BillingBuilder Configuration - AWARDS Instruction Sheet  

HIPAA 270/271 Medicaid Eligibility Request Files - Instruction Sheet

Insurance Authorizations - Instruction Sheet

Manual COB Billing Process - Quick Reference Guide

HIPAA Reference Documents

837I Loops and Segments Guide

Common Codes Suggestions for HCPS, UB92 and CMS Code Values

New Jersey Medicaid Companion Guide Reference

Original 270/271 Health Care Eligibility Benefit Inquiry and Response Implementation Guide

Original 270/271 Health Care Eligibility Benefit Inquiry and Response Implementation Guide Addenda

Original 835 Health Care Claim Payment/Advice Implementation Guide

Original 835 Health Care Claim Payment/Advice Implementation Guide Addenda

Original 837 Health Care Claim: Institutional Implementation Guide

Original 837 Health Care Claim: Institutional Implementation Guide Addenda

Original 837 Health Care Claim: Professional Implementation Guide

Original 837 Health Care Claim: Professional Implementation Guide Addenda

Original 997 Functional Acknowledgment Guide

Service Agreements

BillingBuilder - Service Agreement & Readiness Checklist (** new BillingBuilder customers **)

BillingBuilder - ChangeHealth Clearinghouse Add-On (**existing BillingBuilder customers **)