Setting up insurance defaults

You can set up the default options for insurance claims.

Note: Insurance defaults are location specific (each location of your organization has its own insurance defaults).

To set up insurance defaults

1. On a location's Insurance Defaults page, set the following options:

• Billing Provider - By default, services will be billed to an insurance plan in behalf of a specific provider (select one), a location in your organization (select one, if set up as a provider), or the provider who performed the procedures. If you select Provider of Procedures, to handle cases where the provider of a procedure is a secondary provider (for example, a hygienist), make sure that you select the primary provider that you want to use as the alternate billing provider. Only providers who have access to the current location are available.

• Rendering Provider Type - By default, services will be indicated as having been performed by a specific provider (select one) or the provider who performed the procedures. If you select Provider of Procedures, to handle cases where the provider of a procedure is a secondary provider (for example, a hygienist), make sure that you select the primary provider that you want to use as the alternate rendering provider. You can also select the Use the patient's primary provider if the provider of procedures is not a primary provider check box to automatically add the patient's primary provider as the Rendering Provider when the actual provider (for example, a hygienist) is not the primary.

• Address Where Insurance Payment Should Be Sent - The address where insurance payments will be sent: the address of the location where the services were actually performed, the address of the organization (the address used upon signing up your organization to use Ascend Academic; you cannot change this address), or another address (specify one). This address will appear in box 48 on claims.

• Place of Service Default Location - The default place of service for claims that get created. On a case-by-case basis, you can change the place of service for a claim as needed.

• Default Authorization Settings for New Subscribers - The default authorization settings (Release of Information and Assignment of Benefits check boxes) for subscribers who are added to the system and have insurance attached to their records. Changing these options does not affect existing subscribers in Ascend Academic.

  

2. ClickTap Save.