EDI setup

Before submitting EDI claims, the correct Insurance details should be entered for the concerned Insurance Company. 1. Click on Master Setup module and choose Insurance from the index. In the page that appears,  search for the Insurance company for which you want to set up EDI claim submission. 2. Ensure that the following options are […]

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Understanding the Billing Workflow

A.Insurance Charge Workflow yet been submitted. Additionally, any charge crossed over from EHR to the billing would appear in a “NEW” status on the Enter Charges screen. Save the charge with status Bill to PR to post the charge. After the first batch & submission of the claim, the line status is changed by the […]

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To generate Patient statement

1. To generate Patient statement, click on Generate statement from patient Search screen, the Patient Statement dialog box will be displayed as shown in pic 3 2. Alternately you can also go to Report Central and click on Generate Patient Statement(s) under Patient, the Patient Statement dialog box will be displayed as shown below. 3.To […]

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Add/Edit the Claims Receiver (Clearing House) Information

Navigate to Advanced Setup and then click on Billing Options 1. On the proceeding Billing Options screen, click on Configure which will open the EDI Sender Receiver Config. window. 2. On the EDI Sender Receiver Config. screen click on the button to Edit the Claims Receiver (Clearing House) Information 3. To add new Claim Receiver […]

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How Do I Correct claims and rebill claims

Navigate to Charges from the main menu and then click on Edit Charges. On the charge Master window pull up the patient and select the encounter. Click on the encounter tab to make the required encounter level changes. Click on save once the changes are made. Click on the Details tab to make the required […]

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How Do I Read a Claim Log Report?

From the main menu navigate to Charges and then click on Edit Charges Go to Claim Log tab and then click on Claims details Report Enter the Claim Date From and To, to run this report between two Claim Dates Enter the DOS From and To, to run claim log report between two Date of […]

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