Create an EDI Void File to Submit to PROMISe

Instead of manually voiding claims one-by-one in PROMISe, you can now create an EDI Void file to submit to PROMISe to process all the voids for an individual.  It is important to follow the Horizon Recommended Billing Process.  

The void file process will not work if you are not following the billing steps – specifically the steps listed below.  If you are not completing any of these steps, please contact Horizon Help Desk before proceeding.

  1. Service Billed through the system
  2. Service Paid by PROMISe – approved for payment
  3. Trade File Imported – has ICN number needed for this process
  4. Create AR Process Completed 


Void/Delete the Service

NAVIGATION: ANALYSIS menu > Service Maintenance

  1. Select consumer, dates, facility, service code – click the REBUILD button.
  2. Find the entry you need to void/delete.
  3. If the service has already been billed, it is a two-step process to void/delete:
    1. Place a check in the box at the beginning of the line; click the ROLL BACK SERVICE button.
    2. Place a check in the box at the beginning of the line; click the DELETE button.
  4. If the service has NOT already been billed, place a check in the box at the beginning of the line; click the DELETE button.

Create the Void EDI File

NAVIGATION: ANALYSIS menu > Service Maintenance

  1. Select the individual and begin/end date.
  2. In the PAYOR field, select PROMISe
  3. Click the REBUILD button
  4. Any services that were deleted will appear in the grid based on the date range. 
  5. Review the list to make sure the ICN number is listed in the last column.
    1. The ICN generates from the trade file import.
    2. If the ICN is NOT listed, you will not be able to create a Void EDI file to submit. You will need to manually void the claims in PROMISe.
  6. Place a check in the box at the beginning of each service/line you want included in the void EDI file.
  7. Click the CREATE FILE button.
  8. An information prompt will appear when the file is complete.
  9. Navigate to the Billing/AR menu > EDI Billing Process screen.
    1. Select PROMISE
    2. The EDI files will appear in the grid at the bottom of the screen.
    3. The void 837 file name will include the word VOID.
    4. Verify that the client count and dollar amount are correct.
  10. Download the file/save to your computer.  
  11. Submit the file to BBS.

Review EDI Billing Verification

NAVIGATION: BILLING/AR menu > EDI Billing Verification

  1. Verify that the claims were all accepted. 
  2. If there is any amount in the REJECTED columns, click the link to review which claims were not accepted.

4/2023

NEED MORE HELP?  Submit a ticket to the Help Desk or call (814) 535-7810 or (800) 889-3388