There should be 2 cases one for Insurance and one for Self Pay then we can go ahead and bill the lines accordingly
Category: FAQs – Charges & Claims
How do I view details of an Encounter?
Case and encounter are co-related and relates the patient insurance (Patient himself)to each bill items ( Encounter). Hence you can find the case and encounter listed in Edit charges. From the Main Menu, select Charges and click on Edit charges to open the Edit charges page. When the Edit charge page opens up, click on […]
How to Add an Encounter
Adding an Encounter for a case which has no previous encounters 1. The Encounter Information window will be displayed as shown below. All the items in the window marked with the asterisk (*) are required fields. If any box with an asterisk is left blank, you will get an error message when you click […]
How do I – bill the claim for the Supervis. Provider when the Provider’s Asst. has rendered the service.
Selecting a different Provider on the Line Level (24J – Rendering Provider on the claim form) v/s the Claim Level – The Line level Provider can be used in billing scenarios where the Provider’s Asst. (or Physician Asst.) may have rendered the service to the patient, but the claim may need to be billed under […]
How do I Correct and Re-bill Claims?
Navigate to Charges module 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 the Details tab to make the required claim level changes. Click on Save Enc. button after making […]
How Do I Read a Claim Log Report?
1. Choose the Submit Claims option under Charges Main Menu. 2. Submit claims page opens up as follows. 3. Invoke Claim Log tab and Select the Claims Detail Report. 4. Choose the search parameters such as Claim Date Range, DOS Range, Claim Batch Type, Legal Entity, Insurance Level, Claims Receiver, etc as you wish to filter the claims. Enter […]
Where do I Enter Box 10d and/or Box 19?
Box 10d is used to report the appropriate Claim Code or the Condition Codes whenever required and Box 19 is used to identify additional information about the patient’s condition or the claim. This information can be entered into a claim from the Edit Charges/ Charge Master screen. Pull up the required charge in charge master, […]
How Do I Update A Posted Charge On Hold?
Navigate to Charges from the main menu and then click on Edit Charges. On the proceeding Charge Master Screen, pull up the patient and select the encounter. On the encounter line, select the Status as HOLD corresponding to the charge that needs to put on hold and then click on the Save button at the […]
How do I Add a Charge without an Appointment?
To add a charge without an appointment, select the Charges module and click on Enter Charges from the left side menu. Click on the button. On the new charge entry screen, select the Patient. Follow the normal charge entry procedure to enter the other details. Click on Save after entering all the required information.
How do I Post the charge to a new insurance?
From the Main Menu, select Charges and click on Edit charges to open the Edit charges page. When the Edit charges page opens up, click on the patient field and enter either the patient name or MRN# to search patient. As you type the patient details, a list of patients appears as a drop-down list. […]