Insurance Billing and Collections in Partner

The Physician's Computer Company


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Copyright © 2005, 2006, 2007 The Physician's Computer Company

2009/02/25 17:16:16

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Table of Contents
1. Introduction: Insurance Billing and Collections Overview
2. Generate Claims (ecs, hcfa)
2.1. Introduction: Claims and Partner
2.2. Quickstart: Submit Claims
2.3. How is a Claim First Created, and Where Does it Go?
2.4. Paper HCFAs: Details of the hcfa Program
2.4.1. What Claims Require a Paper HCFA 1500 Form?
2.4.2. Generating HCFA 1500 Forms
2.4.3. Features and Options While Printing Claims
3. Verify Claim Submission (ecsreports)
3.1. Introduction: What Are EDI Reports?
3.2. Accessing EDI Information
3.3. Using the EDI Reports (ecsreports) Program
3.3.1. Reports By Date
3.3.2. EDI Reports - By Report Type
3.3.3. Reading Reports
3.3.4. Searching While Reading a Report
3.3.5. Searching Multiple Reports
3.3.6. Printing
3.4. Working With Electronic Remittance Advice (ERAs)
3.5. Which EDI Reports Should You Review?
3.5.1. Essential Reports
3.5.2. Reference Reports
3.6. EDI Report Glossary
3.6.1. PCC Reports
3.6.2. Capario (ProxyMed) Reports
3.6.3. Emdeon/ENVOY Reports
3.6.4. RelayHealth (McKesson) Reports
4. Keep Track of Outstanding Claims
4.1. The Insurance Company Aging Report (insaging)
4.1.1. Introduction: insaging, the A/R Summary
4.1.2. insaging Basics
4.1.3. Configuration and Customization Options for insaging
4.2. The Insurance Company Accounts Receivable Report (inscoar)
4.2.1. Introduction: inscoar, Accounts Receivable Detail and Work-Desk
4.2.2. inscoar Basics
4.2.3. Configuration Options and Tools
4.2.4. Interactive inscoar
4.2.4.1. [F1 -- Show More Info]
4.2.4.2. [F4 -- Work With Entry]
4.2.4.3. [F5-F8] -- Searching For Items
4.2.5. Conclusion: Work Down Old Insurance Charges
5. Post Payments and Adjustments, Submit to Next Carrier (pip)
5.1. Introduction
5.2. Quickstart: Starting pip and Posting an EOB
5.3. Find Patients and Post Payments by Claim ID#, PCC#, or Other Method
5.4. The Insurance Charge Selection Screen
5.4.1. Find Missing Insurance Charges
5.4.2. Function Keys on the Insurance Charges Selection Screen
5.5. Payment and Adjustment Screen
5.5.1. Working with Allowed Amounts
5.5.2. Payment Type, Check Number, and Responsible Party Fields
5.5.3. Function Keys on the Post Payments Screen
5.6. Conclusion
6. Correct Mistakes and Resubmit Claims
6.1. Correct Mistakes (oops)
6.1.1. Introduction
6.1.2. Starting oops
6.1.3. Charge History Screen
6.1.3.1. Understanding Charges
6.1.3.2. Understanding Payments and Adjustments
6.1.3.3. Reading Billing Messages and Other Items
6.1.3.4. Functions from the Charge History Screen
6.1.4. Insurance Status Screen
6.1.5. Electronic Claim Responses
6.1.6. Visit Status Screens
6.1.7. oops in Action
6.1.7.1. Problem: Charges Were Posted Before Insurance Information Was Updated
6.1.7.2. Problem: Missing Diagnosis and Hospital Information
6.1.7.3. Problem: The Wrong Procedure Was Posted, Payment Needs Relinking
6.2. Resubmit HCFA Forms (maketags)
6.2.1. Introduction
6.2.2. Quickstart: Running maketags
6.2.3. Criteria Selection: Choosing Which Charges to Rebatch
6.2.3.1. Rebatch Charges by Age or Date Range
6.2.3.2. Rebatch Charges by Paid and Insurance Status
6.2.3.3. Rebatch Charges by Insurance Plan
6.2.3.4. Rebatch Charges by Provider
6.2.3.5. Submit the Whole Visit?
6.2.4. Printing Claims Within maketags
6.2.5. Use srs to Find Charges By Other Criteria
6.2.6. Conclusion: Making Re-billing Easier For You
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  Introduction: Insurance Billing and Collections Overview