There are five main topics regarding Billing, AR, & Insurance:
- Patient Insurance
- In Network for Insurance Carriers
- Patient Financial
- Appointment Panel
- Claim Management
- Day End Reports
Each topic has its own set of subtopics as listed below. Access articles and videos by clicking on the highlighted links.
SUBTOPIC |
PATH |
ARTICLE | VIDEO |
Attaching Insurance Plans |
Patient > Insurance > Insurance Information |
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Add Primary Insurance Plan to Patient | |||
Add Secondary Plan to Patient | |||
Updating Plan Benefits for Patient |
Insurance Information > Into Plan > Benefits |
Article | Video |
End Coverage For Insurance Plan |
Insurance Information > Into Plan > Remove > End Coverage |
N/A |
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Reassign Secondary Insurance to Primary Insurance for Patient |
Patient > Insurance Information |
N/A | |
Attach Dependents to Benefit Plan |
Insurance Information > Into Plan > Add Dependents |
Article | Video |
IN NETWORK FOR INSURANCE CARRIER
SUBTOPIC |
PATH |
ARTICLE | VIDEO |
Coverage Table Template Set-Up |
Settings > Production > Coverage Tables |
Article | N/A |
Downgrade Insurance Exception Set-Up |
Coverage Tables > Manage Exceptions > Add New Exception |
Article | N/A |
Coverage with Age Limit Exception Set-Up |
N/A | ||
Customize Coverage Procedure Code Range |
Coverage Tables > Click into Code Range |
Article |
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Entering Insurance Carrier from Database |
Home > Insurance > Carriers > Add Carrier |
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Enter Insurance Carrier not in Database | |||
Attach Provider/Billing Entity to Carrier if in Network |
Settings > User Accounts > Select Provider > Fees tab > Contracted with |
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Add Insurance Plan |
Home > Insurance > Carriers > Select Carrier > Add Plan |
Article | |
Define Benefit Renewal Month | |||
Attach Fee Schedule | |||
Attach/Modify Coverage Table | |||
Customize Benefits | |||
Insurance Notes |
SUBTOPIC |
PATH |
ARTICLE | VIDEO |
Ledger Views / Line Item Accounting |
Patient > Ledger > View > Sort by > By date |
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Ledger Views / By Date ‐ By Statement |
Patient > Ledger > View > Sort by > By date/By Statement |
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Ledger Views / Patient View ‐ Guarantor View |
Patient > Ledger > View > Patient View/Guarantor View |
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Patient Portion ‐ Summary View & Detailed View |
Patient > Ledger > Patient Portion |
Article | Video |
Guarantor Note |
Patient > Ledger > Account Note |
Article | Video |
Procedures ‐ Posting From Ledger |
Patient > Ledger > Procedure (+) |
Article | Video |
Payments ‐ Patient |
Patient > Ledger > Payment (-) |
Article | Video |
Payments ‐Tags |
Patient > Ledger > Payment (-) > Add a tag |
Article | Video |
Payments ‐ Insurance |
Patient > Ledger > Payment (-) > Method > Insurance Payment |
Article | Video |
Payments ‐ Insurance Secondary | |||
Payments ‐ Insurance Primary ‐ Create Secondary Claim |
Patient > Ledger > Payment (-) > Method > Insurance Payment |
Article | Video |
Payments ‐ Split Insurance |
Home > Insurance > Bulk Insurance Payments |
Article | Video |
Adjustments ‐ Posting Credits |
Patient > Ledger > Credit (-) Adjustment |
Article | Video |
Adjustments ‐ Posting Charges / Initial Balances |
Patient > Ledger > Charge (+) Adjustment |
Article | Video |
Adjustment ‐ Tags |
Patient > Ledger > into adjustment > Add a tag |
Article | N/A |
Applying unapplied credits |
Patient > Ledger > hover Unapplied Credits > Click Apply Credits |
Article | Video |
Payment Plans ‐ Create / Print |
Patient > Ledger > Payment (-) > Create payment plan |
Article |
N/A |
Payment Plans ‐ Update / View Initial Values |
Article | ||
Payment Plans ‐ Finalize |
Article | ||
Patient Walkout ‐ Create Claims |
Patient > Ledger > Patient Walkout > Create Claims |
Article | Video |
Patient Walkout ‐ Claim Detail / Split Claim |
Patient > Ledger > Patient Walkout |
Article | N/A |
Patient Walkout ‐ Claim Detail / General ‐ Billing Providers |
Patient > Ledger > Patient Walkout > General |
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Patient Walkout ‐ Claim Detail / Claim Info |
Patient > Ledger > Patient Walkout > Claim Info |
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Patient Walkout ‐ Claim Detail / Ortho auto month total ins. Claim |
Create Claim > Claim Info > Orthodontia |
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Patient Walkout ‐ Claim Detail / Modify Attached ICD‐10 Codes |
Create Claim > Procedure tab |
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Patient Walkout ‐ Claim Detail / Attachments |
Create Claim > Attachments tab |
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Patient Walkout ‐ Claim Detail / Status‐Notes |
Create Claim > Status/Notes tab |
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Patient Walkout ‐ Claim Detail / Print‐Submit Claim |
Create Claim > Print or Submit |
Print: Submit: |
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Patient Walkout ‐ Enter Patient Payment |
Patient > Ledger > Patient Walkout > Payment |
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Video |
Patient Walkout ‐ Generate Statement |
Patient > Ledger > Patient Walkout > Statement |
Video | |
Review Abbreviation & Symbol Legend |
Patient > Ledger > (?) Symbol |
N/A | N/A |
SUBTOPIC |
PATH |
ARTICLE | VIDEO |
Create Claims |
Home > Insurance > Create Claims |
Article | Video |
Unsent Claims |
Home > Insurance > Unsent Claims |
Article | Video |
Sent Claims |
Home > Insurance > Sent Claims |
Article | N/A |
Unresolved Claims |
Home > Insurance > Unresolved Claims |
Article | Video |
Outstanding Claims |
Home > Insurance > Outstanding Claims |
Article | N/A |
Bulk Insurance Payments |
Home > Insurance > Bulk Insurance Payments |
Entering: Article Applying: Article Editing: Article Deleting: Article |
Video |
Patient Insurance Claims |
Patient > Insurance > Insurance Claims |
N/A | N/A |
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