image3236.jpg

WWW.PRIMECLINICAL.COM

 

Intellect™

 

 

TASK TELE COM SUBMIT

ocean_header_bg.gif

 

 

This task uses a printout and has the following task task_name parameter:

 

<task task_name="Your Payer ELECTRONIC BILLING " printer_name="HP" email_addresses="" fax_numbers="" secondry_printer="" number_of_copies="1">

 

NEVER change the task_name.

 

to always have the automated task print the output, click Print Paper Statements for instructions.

 

to have the automated task EMAIL the output when an email address is available, and print the output to the printer when there is not an email address on file, click Email Statements for instructions.

 

to have the automated task FAX the output when a fax number is available, and print the output to the printer when there is not a fax number on file, click FAX Statements for instructions.

 

When entering values place them between the quotation marks" ".

 

 

 

 

 

Tasks

 

 

 

Task and Parameters

Billing  --► Tele Com

TASK_IMS_EB

Select The Task for the Proper Payer when setting up Automation: i.e., 'Medicaid,' 'IMS,' 'Medicare,' etc.

TASK_MEDICAID_EB

TASK_MEDICARE_EB

TASK_UGS_EB

NOTE: You should ALWAYS automate the electronic claims to run prior to the paper claims

Task Parameter

Required Y/N

Corresponding Screen/ Field Name

Notes

<parameter name="FROM_DATE" value="TODAY - 365"/>  

Y

From Date

Determines the earliest date billed if all other criteria are met. Change the numeric value to indicate the starting date for the range billed. For example: “TODAY – 365” begins the date range 365 days prior to the current calendar date.  

<parameter name="IC_CODE" value="IMS"/>

Y

Insurance Code

Enter the Utility --► Insurance --► Insurance <Insurance Co. Code> of the payor or clearinghouse where you are submitting the 837.

<parameter name="DATE_SELECT" value="E"/>

Y

Date

Date Selection Values = E, S, B, P, F

The default is 'E' entry date.

<parameter name="USER_NO" value=""/>

N

User#

To filter the billing based on a specific user, type the Utility --►Set Up --►Security --►Login Users <User Number> OR leave as is to bill for all users.

<parameter name="INS_TYPE" value="P1"/>

Y

Primary/Sec/All(P/S/A)

Which Insurer? P1, P2, S1, S2

The default is the Primary

<parameter name="CARRIER_CODE" value="I"/>

Y

Carrier Type

Enter the appropriate carrier type code of the payor or clearinghouse where you are submitting the 837.

Values =  I, M, S

<parameter name="TO_DATE" value="TODAY"/>

Y

To Date

This is defaulted to include billing up until the current date. Change the numeric value to indicate how many days from today to include: for example, "TODAY - 1" means end date of yesterday.

<parameter name="BILL_STATUS" value="U"/>

Y

All/Unbill/Rebill(A/U/R/H)

Values = Unbilled Charges, All Charges, Rebill Charges, Guarantor Resp. Charges, Hold Charges, and Multiple Insurances.

Used to select which status of claims to print. Accept the default 'Unbilled' primary/secondary OR enter a different value to make an alternate selection.

<parameter name="CT_CODE" value=""/>

N

Category

Limits the billing results by specific patient Category. Leave as is to bill by all categories OR enter a Utility --►Category <Category Code>.

<parameter name="DR_CODE" value=""/>

N

Provider

Limits the billing results by specific provider. Leave as is to bill by all providers OR enter a Utility --►Provider --►Provider <Provider Code>.

<parameter name="DEPARTMENT" value=""/>

N

Department

Limits the billing results by specific Department. Leave as is to bill by all Departments OR enter a   Utility --►Provider --►Provider <Department>.

<parameter name="BILL_CODE" value=""/>

N

Billing Code

To filter the billing based on specific billing codes, type the Ledger <Message> billing code.

<parameter name="FACILITY" value=""/>

N

POS

Limits the billing results by specific POS. Leave as is to bill by all facilities OR enter a Utility --►Facility <Facility Code> to filter the billing based on a specific facility.

<parameter name="CLAIM_TYPE" value="2"/>

Y

Claim Type

Claim Type 1= UB04 (CMS 1450), 2 = CMS 1500

<parameter name="ACCOUNT_FROM" value=""/>

N

Account Number

This is the beginning number for billing by a specific range of patient account numbers. Leave as is to bill all accounts that meet the other parameters.

<parameter name="ACCOUNT_TO" value=""/>

N

Account Number To

This is the ending number for billing by a specific range of patient account numbers. Leave as is to bill all accounts that meet the other parameters.

<parameter name="SELECT_CRITERIA" value=""/>

N

Selection Criteria

Define the parameter using an hyphenated alphabetical range such as A-L to return patient accounts where the last name begins with any letters in the range of A-L. Leave as is to bill all accounts that meet the other parameters.

 

Top of Page