"Fake" Billing in Aloha
We refer to "fake billing" as any instance in which you are billing out insurance claims without a clearinghouse attached. The billing is "fake" because the claims do not actually go anywhere, but we are making Aloha think that they were billed out.
There are a few instances in which you may need to "fake bill" in Aloha:
1. If a claim fix results in accounting differences, it is important to make the sessions match in Aloha in order to properly balance your payments. Most often, claim fixes can be completed in the payer portal or clearinghouse, refer to Billing Overview: Fix Claim for instructions on how to fix a claim in Aloha.
2. If you are trying to track appointments that were already billed out using another system for AR purposes.
If the claim has already been fixed or billed elsewhere and you need to make your accounting match, you will need to "fake bill" in Aloha.
1. Because the appointment has been billed out in Aloha, you cannot make changes. The first step will be to release the claim so Aloha thinks it was never billed out. Go to 
and AR Manager and double click on the payer.
2. Once you are in "claim view", find the claim, select it and go to
"more". From there you can
"release" the claim and make it editable.
Note: you will be releasing all chargelines from this claim. Make sure when you "rebill" them out, you bill out all appointments from the claim.
3. Within the schedule 
, find the appointment. Go to the verification tab and unselect "complete". Make any necessary changes (e.g., add modifiers, change number of units).
4. Go to the and the specific Payer profile. Under the clearinghouse, select
"none". This will turn off the
clearinghouse so you can rebill the claim in Aloha and it will match.
5. Rebill all appointments on that
claim. The claims will show as billed in Aloha, but will not go to the clearinghouse.
6. Turn the clearinghouse back on by going back to the payer profile and selecting Office Ally or Availilty.
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