Screen Description
Screen to configure and edit the Insurance Companies and the health plan .
Access
Two forms to access the screen:
- From settings area:In main menu press the Settings button, the press the Billing button in the upper side of screen and select the Insurance & Coverages option.
- From billing area: On main menu, press the Billing button. Once in screen select the Settings button and select the Insurances option.
Sections
- Companies: Displays the Insurance Company list. This chart includes the Schedule quantity and the created coverages of the insurance company. User can select between the following options by pressing a right click on mouse:
- Add: Add Insurance Company.
-
Delete: Deletes the Insurance Company that was selected.
- Note: The only Insurance Companies that can be deleted are the ones that are not assigned to any patient.
- Copy: Makes a copy of the Insurance company.
- Paste: If the Copy is used, adds the result of the copy to chart.
- Clear Copy: If a copy is made it internally clears the copy.
- Company Details: Area where it will be collected the Insurance Company detail. Between the fields collected are:
- Name: Name that identifies the Insurance Company.
- Code: Code that internally identifies the Insurance Company.
- Payer ID: Insurance Company identifier number with the Clearinghouse in all electronic transactions.
- Identifier: Identifies the type of business of the Insurance Company.
- Default Provider: Identifies the provider name that appears every time a claim is created.
- ETIN: Registers the Electronic Transmitter Identification Number of the Insurance Company.
- Email:Insurance company email, can be a contact person.
- Web: The insurance company web page.
- Physical Address: Insurance company physical address.
- Postal Address: Insurance company postal address.
- Coverage Plans: Displays the all the coverage plan list of the insurance company.
- Plan Details: Displays the detail of coverage information.
- Name: Coverage plan name.
- Code: Identify the coverage plan code
- Claim Type: Select the coverage plan code.
- Billing Schedule: Select the coverage rate.
- Needs Referral: Identify if coverage plan needs a referral.
- Capitation: Identify if is a coverage plan Capitation.
- Enabled: If the office has this coverage plan active select this option. If office does not accept anymore discharge this option .
- Copays: Write the copay information in this area. This is information appears in the patients plan.
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