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WWW.PRIMECLINICAL.COM

 

OnSTAFF 2000

 

 

Billing/Menu

 

This menu allows you to bill the financially responsible party by sending either an insurance form (paper or electronic) or a detailed statement.

 

 

Menu Options:

 

Insurance                    Allows billing of Insurance claim forms to the applicable insurance company.

 

Statement                   This option allows the printing of detailed statements, which are sent to patients.

 

Tele Com                    This option is used for electronic claims submission.

 

Follow-Up                   Used to generate follow-up letters to patients or insurance carriers.

 

Worker                       Used to bill charges and submit other Workers Compensation related information.

 

Pre-Billing                  Allows you to, prior to billing, for ALL charges entered, edit the information contained in the report. 

 

Exit                             Returns you to the Main Menu.

 

Billing/Insurance

 

 

Standard Software Requirements For All Options:

 

 

 

How to use fields of the /Billing/Insurance screens:

 

 

 

From Date:                             The beginning date of the date range for charges to be billed/rebilled based on the <Date Selection> field criteria.

                 

To Date:                                 The latest date of the date range for charges to be billed/rebilled based on the <Date Selection> field criteria.

 

If you selected Batch of Patients, you will see

 

Patient No:                             :Enter all of the account numbers you wish to print this form for one at a time, pressing [ENTER] after each entry.

 

 

 When you have comp­leted your selection, press [ENTER] one more time to proceed to the next field.

 

 

If you selected Group of Patients, you will see:

 

Selection Criteria:                 Allows user to define the accounts to bill based on alphabetical criteria.

                                           Press [Enter] to select all patients that meet any other criteria entered below or define the parameter using an alphabetical range hyphenated and  bracketed such as [A-M] to return patient accounts where the last name begins with any letters in the range of A-M.

 

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Patient's Account Number:

 

                       From:                            Enter the first account number of the sequence.

                       To:                                Enter the last account number of the sequence

 

Primary/Sec/All (P/S/A):       Use this to select which insurance bill to print. Accept the default “P” all primary insurers for this group of patients or make an alternate selection.

Press the [F2] search key to display the following valid choices:

 

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All/Unbill/Rebill(A/U/R/H):   This is a selection field to determine which status of claims to print. Accept the default “A” all primary/secondary or enter an alternate selection.

Press the [F2] search key to display the following valid choices:

 

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How to use the <Primary/Sec/All(P/S/A)> and <All/Unbill/Rebill(A/U/R/H)> fields of the /Billing/Insurance screens

 

All

Unbilled

Rebill

Hold

Who

 

Category:                               In all cases, entering a specific category will limit the selected records to that   category.*        

 

Form Type:                             Press the [F2] search key to display a list of valid choices other than the following:

            C – Laser generated HCFA

            B – Red and White HCFA for

                         See A Full List

                             Optical Form "S"

 

Insurance Code                      In all cases, entering a specific insurance will limit the selected records to   that insurance.*

 

 Billing Code :                         In the case of All/Unbilled/Rebill = R:

When requesting to bill/print claims using a <Billing Code> field entry, bill/print claims for only those charges whose ledger Code matches the <Billing Code> field entry AND  this <Billing Code> field entry begins with B, C, E or G.*

 In the case of All/Unbilled/Rebill = A, U, H, W: When requesting to bill/print claims using a <Billing Code> field entry,  bill/print claims for only those charges whose ledger Code matches the <Billing Code> field entry here.*

*  NOTE:   An asterisk (*) may be used as a wild card on these fields. For example, M* used on the    <Category> field requests all categories that begin with the letter M.

 

NOTE:  <Primary/Sec/All(P/S/A)> refers to the insurance to be billed.  <All/Unbill/Rebill(A/U/R/H)> refers to the charges to be billed

 

 

 

Date Selection:                     Determines the method to select dates for billing.

                                               The default is "S" service date. Accept this default or enter an alternate selection.

                                               Pressing the [F2].key displays the following valid choices.

 

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