Ignacio Valdes Implementation Log/Episode34

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Ignacio Valdes View profile More options Dec 4 2008, 4:22 pm From: "Ignacio Valdes" <ival...@hal-pc.org> Date: Thu, 4 Dec 2008 15:22:26 -0600 Local: Thurs, Dec 4 2008 4:22 pm Subject: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author Is there a guide for setting up and entering a patients insurance infromation? -- IV

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chappyware View profile More options Dec 5 2008, 8:23 am From: chappyware <chappywa...@verizon.net> Date: Fri, 5 Dec 2008 05:23:16 -0800 (PST) Local: Fri, Dec 5 2008 8:23 am Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author Look at the Vista Documentation for Integrated Billing. I was playing with a Delphi app to setup insurance company in file 36 only to find that one is strongly advised not to use Fileman to enter this data as it affects other parts of the system. Make sure you give yourself the IB SUPERVISOR key and go to option ^INSURANCE to get to the correct place.

On Dec 4, 4:22 pm, "Ignacio Valdes" <ival...@hal-pc.org> wrote:

- Hide quoted text - - Show quoted text - > Is there a guide for setting up and entering a patients insurance > infromation? -- IV

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David Whitten View profile More options Dec 5 2008, 9:15 am From: "David Whitten" <whit...@worldvista.org> Date: Fri, 5 Dec 2008 08:15:55 -0600 Local: Fri, Dec 5 2008 9:15 am Subject: Re: [Hardhats] Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author

Which option is the correct one that you are talking about? when you type ^INSURANCE, MenuMan just looks in the options that are accessible for the current person. It also looks at only the "MENU TEXT" to match what you type. Unfortunately we don't have access to your system to find out which one you mean.

David

This is what I found on a WorldVistA EHR system:

VAH>D P^DI VA FileMan 22.0 Select OPTION: INQUIRE TO FILE ENTRIES

OUTPUT FROM WHAT FILE: HOSPITAL LOCATION// 19  OPTION  (9686 entries)

Select OPTION NAME: INSURANCE

    1   INSURANCE BUFFER ACTIVITY  IBCN OUTPUT INS BUFF ACTIVITY

Insurance Buffer Activity

    2   INSURANCE BUFFER EMPLOYEE  IBCN OUTPUT INS BUFF EMPLOYEE

Insurance Buffer Employee

    3   INSURANCE COMPANY EDI PARAMETE  IBCN INSURANCE EDI REPORT

Insurance

Company EDI Parameter Report
    4   INSURANCE COMPANY ENTRY/EDIT  DG INSURANCE COMPANY EDIT

Insurance Company Entry/Edit

    5   INSURANCE COMPANY ENTRY/EDIT  IBCN INSURANCE CO EDIT     Insurance

Company Entry/Edit Press <RETURN> to see more, '^' to exit this list, OR CHOOSE 1-5:

    6   INSURANCE LIST OF UNKNOWNS FOR  DG INSURANCE LIST     Insurance

List of UNKNOWNs for Inpatients

    7   INSURANCE PAYMENT TREND REPORT  IB OUTPUT TREND REPORT

Insurance Payment Trend Report

    8   INSURANCE POLICIES NOT VERIFIE  IBJD INTAKE POL NOT VER

Insurance Policies Not Verified

    9   INSURANCE REVIEW EDIT  IBT EDIT COMMUNICATIONS     Insurance Review

Edit

    10  INSURANCE UPLOAD  IVM UPLOAD INS     Insurance Upload

CHOOSE 1-10:

Select OPTION NAME:

- Hide quoted text - - Show quoted text - On Fri, Dec 5, 2008 at 7:23 AM, chappyware <chappywa...@verizon.net> wrote:

> Look at the Vista Documentation for Integrated Billing. I was playing > with a Delphi app to setup insurance company in file 36 only to find > that one is strongly advised not to use Fileman to enter this data as > it affects other parts of the system. Make sure you give yourself the > IB SUPERVISOR key and go to option ^INSURANCE to get to the correct > place.

> On Dec 4, 4:22 pm, "Ignacio Valdes" <ival...@hal-pc.org> wrote: > > Is there a guide for setting up and entering a patients insurance > > infromation? -- IV

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chappyware View profile More options Dec 5 2008, 12:00 pm From: chappyware <chappywa...@verizon.net> Date: Fri, 5 Dec 2008 09:00:34 -0800 (PST) Local: Fri, Dec 5 2008 12:00 pm Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author INSURANCE COMPANY ENTRY/EDIT IBCN INSURANCE CO EDIT is the best starting point

On Dec 5, 9:15 am, "David Whitten" <whit...@worldvista.org> wrote:

- Hide quoted text - - Show quoted text - > Which option is the correct one that you are talking about? > when you type ^INSURANCE, MenuMan just looks in the options > that are accessible for the current person. It also looks at only > the "MENU TEXT" to match what you type. Unfortunately we don't > have access to your system to find out which one you mean.

> David

> This is what I found on a WorldVistA EHR system:

> VAH>D P^DI > VA FileMan 22.0 > Select OPTION: INQUIRE TO FILE ENTRIES > OUTPUT FROM WHAT FILE: HOSPITAL LOCATION// 19 OPTION (9686 entries) > Select OPTION NAME: INSURANCE > 1 INSURANCE BUFFER ACTIVITY IBCN OUTPUT INS BUFF ACTIVITY > Insurance > Buffer Activity > 2 INSURANCE BUFFER EMPLOYEE IBCN OUTPUT INS BUFF EMPLOYEE > Insurance > Buffer Employee > 3 INSURANCE COMPANY EDI PARAMETE IBCN INSURANCE EDI REPORT > Insurance > Company EDI Parameter Report > 4 INSURANCE COMPANY ENTRY/EDIT DG INSURANCE COMPANY EDIT > Insurance Company Entry/Edit > 5 INSURANCE COMPANY ENTRY/EDIT IBCN INSURANCE CO EDIT Insurance > Company Entry/Edit > Press <RETURN> to see more, '^' to exit this list, OR > CHOOSE 1-5: > 6 INSURANCE LIST OF UNKNOWNS FOR DG INSURANCE LIST Insurance > List of UNKNOWNs for Inpatients > 7 INSURANCE PAYMENT TREND REPORT IB OUTPUT TREND REPORT > Insurance Payment Trend Report > 8 INSURANCE POLICIES NOT VERIFIE IBJD INTAKE POL NOT VER > Insurance Policies Not Verified > 9 INSURANCE REVIEW EDIT IBT EDIT COMMUNICATIONS Insurance Review > Edit > 10 INSURANCE UPLOAD IVM UPLOAD INS Insurance Upload > CHOOSE 1-10:

> Select OPTION NAME:

> On Fri, Dec 5, 2008 at 7:23 AM, chappyware <chappywa...@verizon.net> wrote:

> > Look at the Vista Documentation for Integrated Billing. I was playing > > with a Delphi app to setup insurance company in file 36 only to find > > that one is strongly advised not to use Fileman to enter this data as > > it affects other parts of the system. Make sure you give yourself the > > IB SUPERVISOR key and go to option ^INSURANCE to get to the correct > > place.

> > On Dec 4, 4:22 pm, "Ignacio Valdes" <ival...@hal-pc.org> wrote: > > > Is there a guide for setting up and entering a patients insurance > > > infromation? -- IV

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I, Valdes View profile More options Dec 5 2008, 5:29 pm From: "I, Valdes" <ival...@hal-pc.org> Date: Fri, 5 Dec 2008 14:29:54 -0800 (PST) Local: Fri, Dec 5 2008 5:29 pm Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author Here's my first venture into adding an insurance company:

Setting up programmer environment This is a TEST account.

Terminal Type set to: C-VT100

Select OPTION NAME: Insurance

    1   INSURANCE BUFFER ACTIVITY  IBCN OUTPUT INS BUFF ACTIVITY

Insurance Buffer Activity

    2   INSURANCE BUFFER EMPLOYEE  IBCN OUTPUT INS BUFF EMPLOYEE

Insurance Buffer Employee

    3   INSURANCE COMPANY EDI PARAMETE  IBCN INSURANCE EDI REPORT

Insurance

Company EDI Parameter Report
    4   INSURANCE COMPANY ENTRY/EDIT  DG INSURANCE COMPANY EDIT

Insurance C ompany Entry/Edit

    5   INSURANCE COMPANY ENTRY/EDIT  IBCN INSURANCE CO EDIT

Insurance Comp any Entry/Edit Press <RETURN> to see more, '^' to exit this list, OR CHOOSE 1-5: 5 IBCN INSURANCE CO EDIT Insurance Company Entry/Edit Insurance Company Entry/Edit Select INSURANCE COMPANY NAME: ?

       You may enter a new INSURANCE COMPANY, if you wish
       ANSWER MUST BE 3-30 CHARACTERS IN LENGTH

Select INSURANCE COMPANY NAME: Amerigroup

 Are you adding 'Amerigroup' as a new INSURANCE COMPANY? No// Y

(Yes)

  INSURANCE COMPANY STREET ADDRESS [LINE 1]: ??
    Enter the first line of this company's street address with 3-35
    characters.
  INSURANCE COMPANY STREET ADDRESS [LINE 1]: 4425 Corporation Lane
  INSURANCE COMPANY STREET ADDRESS [LINE 2]:
  INSURANCE COMPANY STREET ADDRESS [LINE 3]:
  INSURANCE COMPANY CITY: Virginia Beach
  INSURANCE COMPANY STATE: VA  VIRGINIA
  INSURANCE COMPANY ZIP CODE: 23462
  INSURANCE COMPANY REIMBURSE?: ?
    Choose from:
      Y        WILL REIMBURSE
      *        WILL REIMBURSE IF TREATED UNDER VAR 6046(C) OR VAR

6060.2(A)

      **       DEPENDS ON POLICY, CHECK WITH COMPANY
      N        WILL NOT REIMBURSE
  INSURANCE COMPANY REIMBURSE?: Y  WILL

REIMBURSE..................... Insurance Company Editor Dec 05, 2008@16:31:06 Page: 8 of 8 Insurance Company Information for: Amerigroup Type of Company: Currently Active +

 Remarks

 Synonyms

         Enter ?? for more

actions >>> BP Billing Parameters IO Inquiry Office EA Edit All MM Main Mailing Address AC Associate Companies AI (In)Activate Company IC Inpt Claims Office ID Prov IDs/ID Param CC Change Insurance Co. OC Opt Claims Office PA Payer DC Delete Company PC Prescr Claims Of RE Remarks VP View Plans AO Appeals Office SY Synonyms EX Exit Select Action: Quit// QUIT

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I, Valdes View profile More options Dec 5 2008, 5:36 pm From: "I, Valdes" <ival...@hal-pc.org> Date: Fri, 5 Dec 2008 14:36:49 -0800 (PST) Local: Fri, Dec 5 2008 5:36 pm Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author Here is another foray, adding insurance information to ZZPatient, Test One:

Select OPTION NAME: patient insurance

    1   PATIENT INSURANCE INFO VIEW/ED  IBCN PATIENT INSURANCE

Patient Insu rance Info View/Edit

    2   PATIENT INSURANCE MENU  IBCN INSURANCE MGMT MENU     Patient

Insurance Menu CHOOSE 1-2: 2 IBCN INSURANCE MGMT MENU Patient Insurance Menu

  PI     Patient Insurance Info View/Edit
  VP     View Patient Insurance
  EI     Insurance Company Entry/Edit
  VI     View Insurance Company
  EPR    Insurance Company EDI Parameter Report
  BI     Process Insurance Buffer
  EPH    e-Pharmacy Menu ...
  IIV    IIV Menu ...
  LC     List Inactive Ins. Co. Covering Patients
  LP     List Plans by Insurance Company
  MI     Medicare Insurance Intake
  MV     Move Subscribers to a Different Plan
  NC     Verification of No Coverage Report
  NE     Active Policies with no Effective Date Report
  NV     List New not Verified Policies
  RQI    Remote Insurance Query
  WO     Patients with or without Insurance Report

Select Patient Insurance Menu Option: BI Process Insurance Buffer Insurance Buffer List Dec 05, 2008@16:35:05 Page: 1 of 1 Buffer File entries not yet processed. (sorted by Patient Name)

   Patient Name            Insurance Company  Subscr Id   Src

Entered iIEYH

There are no Buffer entries that have not been processed.

         Enter ?? for more actions
  Process Entry    EE Expand Entry        Sort List        X  Exit
  (Reject Entry)      Add Entry           Check Ins Co's

Select Action: Quit// Add Add Entry Select PATIENT NAME: ZZ

  1    ZZ PATIENT,TEST ONE          <A>    F 01-24-1945

000003322 1

  2    ZZ PATIENT,TEST THREE        <CA>   M

01-15-1968 3

  3    ZZ PATIENT,TEST TWO          <A>    M

12-25-1957 2

  4    ZZFAKE,PATIENT                      F 01-18-2000 111188541

111188541

  5    ZZFAKE,PATIENT                      M 03-24-2000 111101008

111101008 ENTER '^' TO STOP, OR CHOOSE 1-5: 1

 ZZ PATIENT,TEST ONE                <A>    F 01-24-1945

000003322 1

                                ***WARNING***
                           ***RESTRICTED Record***

                                ***WARNING***
                           ***RESTRICTED Record***

Insurance Company: ?

Please enter the name of the insurance company that provides coverage for this patient. This response is a free text response, however, a partial insurance company name look-up is available here.

Insurance Company: Amerigrou

Add a new Insurance Buffer entry for this patient and company? YES//

INSURANCE COMPANY INFORMATION

INSURANCE COMPANY NAME: AMERIGROU// AMERIGROUP REIMBURSE?: ?

    Does this company reimburse the VA for care provided to it's

policy

    holders?
    Choose from:
      Y        WILL REIMBURSE
      *        WILL REIMBURSE IF TREATED UNDER VAR 6046(C) OR VAR

6060.2(A)

      **       DEPENDS ON POLICY, CHECK WITH COMPANY
      N        WILL NOT REIMBURSE

REIMBURSE?: Y WILL REIMBURSE PHONE NUMBER: BILLING PHONE NUMBER: PRECERTIFICATION PHONE NUMBER: STREET ADDRESS [LINE 1]: CITY: STATE: ZIP CODE:

GROUP/PLAN INFORMATION

The following data defines a specific Group or Plan provided by an

Insurance

Company.  This may be either a group plan with many potential members

or an

individual plan with a single member.

IS THIS A GROUP POLICY?: GROUP NAME: GROUP NUMBER: BANKING IDENTIFICATION NUMBER: PROCESSOR CONTROL NUMBER (PCN): TYPE OF PLAN: UTILITZATION REVIEW REQUIRED: PRECERTIFICATION REQUIRED: AMBULATORY CARE CERTIFICATION: EXCLUDE PREEXISTING CONDITION: BENEFITS ASSIGNABLE:

POLICY AND SUBSCRIBER INFORMATION

The following data defines the subscriber specific policy information

for a

particular Insurance Plan.  The subscriber, the insured, and the

policy holder

all refer to the person who is a member of the plan and therefore

holds the

policy.  The patient must be covered under the plan but may not be

the policy

holder.

EFFECTIVE DATE: EXPIRATION DATE: WHOSE INSURANCE: PT. RELATIONSHIP TO INSURED: SUBSCRIBER ID: NAME OF INSURED: INSURED'S DOB: INSURED'S SSN: INSURED'S SEX: PRIMARY CARE PROVIDER: PRIMARY PROVIDER PHONE: COORDINATION OF BENEFITS: SOURCE OF INFORMATION: INTERVIEW// ESGHP?: | Insurance Buffer List Dec 05, 2008@16:36:33 Page: 1 of 1 Buffer File entries not yet processed. (sorted by Patient Name)

   Patient Name            Insurance Company  Subscr Id   Src

Entered iIEYH 1 !ZZ PATIENT,TEST 3322 AMERIGROUP INTVW 12/05/08

         Enter ?? for more actions
  Process Entry    EE Expand Entry        Sort List        X  Exit
  (Reject Entry)      Add Entry           Check Ins Co's

Select Action: Quit// QUIT

  PI     Patient Insurance Info View/Edit
  VP     View Patient Insurance
  EI     Insurance Company Entry/Edit
  VI     View Insurance Company
  EPR    Insurance Company EDI Parameter Report
  BI     Process Insurance Buffer
  EPH    e-Pharmacy Menu ...
  IIV    IIV Menu ...
  LC     List Inactive Ins. Co. Covering Patients
  LP     List Plans by Insurance Company
  MI     Medicare Insurance Intake
  MV     Move Subscribers to a Different Plan
  NC     Verification of No Coverage Report
  NE     Active Policies with no Effective Date Report
  NV     List New not Verified Policies
  RQI    Remote Insurance Query
  WO     Patients with or without Insurance Report

Select Patient Insurance Menu Option:

Do you really want to halt? YES//

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I, Valdes View profile More options Dec 5 2008, 5:47 pm From: "I, Valdes" <ival...@hal-pc.org> Date: Fri, 5 Dec 2008 14:47:48 -0800 (PST) Local: Fri, Dec 5 2008 5:47 pm Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author So if the insurance information on a particular patient is entered, can it be seen via CPRS? I've looked around in CPRS for this on patient ZZTest, Patient One that I just entered the insurance info on but so far do not see it. -- IV

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Nancy Anthracite View profile More options Dec 6 2008, 7:53 am From: Nancy Anthracite <nanthrac...@verizon.net> Date: Sat, 06 Dec 2008 07:53:29 -0500 Local: Sat, Dec 6 2008 7:53 am Subject: Re: [Hardhats] Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author Did you double click on the demographics part which is where the patient's name is in the upper left hand corner of the cover sheet (and probably the other sheets as well)?

On Friday 05 December 2008, I, Valdes wrote:

> So if the insurance information on a particular patient is entered, > can it be seen via CPRS? I've looked around in CPRS for this on > patient ZZTest, Patient One that I just entered the insurance info on > but so far do not see it. -- IV

-- Nancy Anthracite

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I, Valdes View profile More options Dec 6 2008, 9:21 am From: "I, Valdes" <ival...@hal-pc.org> Date: Sat, 6 Dec 2008 06:21:07 -0800 (PST) Local: Sat, Dec 6 2008 9:21 am Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author Ah! That pops up the following which doesn't seem to list the insurance company name although it notes that it has 'Insurance Buffer' entries which sounds like some kind of medication :-) This looks very useful though.

Health Insurance Information:

  Insurance   COB Subscriber ID     Group       Holder  Effective

Expires

===============================================================

   No Insurance Information

                *** Patient has Insurance Buffer entries ***

Can custom fields be added to this whole page that pops up?

-- IV

On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote:

- Hide quoted text - - Show quoted text - > Did you double click on the demographics part which is where the patient's > name is in the upper left hand corner of the cover sheet (and probably the > other sheets as well)?

> On Friday 05 December 2008, I, Valdes wrote:

> > So if the insurance information on a particular patient is entered, > > can it be seen via CPRS? I've looked around in CPRS for this on > > patient ZZTest, Patient One that I just entered the insurance info on > > but so far do not see it. -- IV

> -- > Nancy Anthracite

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Nancy Anthracite View profile More options Dec 6 2008, 11:27 am From: Nancy Anthracite <nanthrac...@verizon.net> Date: Sat, 06 Dec 2008 11:27:57 -0500 Local: Sat, Dec 6 2008 11:27 am Subject: Re: [Hardhats] Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author I don't know how, yet, but I am sure we can program it in, and frankly, I have been eyeing that for some of the CCHIT requirements, so that might not be a bad idea to put in there, too.

On Saturday 06 December 2008, I, Valdes wrote:

- Hide quoted text - - Show quoted text - > Ah! That pops up the following which doesn't seem to list the > insurance company name although it notes that it has 'Insurance > Buffer' entries which sounds like some kind of medication :-) This > looks very useful though.

> Health Insurance Information: > Insurance COB Subscriber ID Group Holder Effective > Expires

> =========================================================================== > No Insurance Information

> *** Patient has Insurance Buffer entries ***

> Can custom fields be added to this whole page that pops up?

> -- IV

> On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > Did you double click on the demographics part which is where the > > patient's name is in the upper left hand corner of the cover sheet (and > > probably the other sheets as well)?

> > On Friday 05 December 2008, I, Valdes wrote: > > > So if the insurance information on a particular patient is entered, > > > can it be seen via CPRS? I've looked around in CPRS for this on > > > patient ZZTest, Patient One that I just entered the insurance info on > > > but so far do not see it. -- IV

> > -- > > Nancy Anthracite

-- Nancy Anthracite

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chappyware View profile More options Dec 6 2008, 12:04 pm From: chappyware <chappywa...@verizon.net> Date: Sat, 6 Dec 2008 09:04:01 -0800 (PST) Local: Sat, Dec 6 2008 12:04 pm Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author CPRS has a button that lights up blue when a pt is insured.It pops up a box with insurance information. I notice worldvista CPRS lacks this button. This was introduced in version 26 so its been around for at least a year.

On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote:

- Hide quoted text - - Show quoted text - > I don't know how, yet, but I am sure we can program it in, and frankly, I have > been eyeing that for some of the CCHIT requirements, so that might not be a > bad idea to put in there, too.

> On Saturday 06 December 2008, I, Valdes wrote:

> > Ah! That pops up the following which doesn't seem to list the > > insurance company name although it notes that it has 'Insurance > > Buffer' entries which sounds like some kind of medication :-) This > > looks very useful though.

> > Health Insurance Information: > > Insurance COB Subscriber ID Group Holder Effective > > Expires

> > =========================================================================== > > No Insurance Information

> > *** Patient has Insurance Buffer entries ***

> > Can custom fields be added to this whole page that pops up?

> > -- IV

> > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > Did you double click on the demographics part which is where the > > > patient's name is in the upper left hand corner of the cover sheet (and > > > probably the other sheets as well)?

> > > On Friday 05 December 2008, I, Valdes wrote: > > > > So if the insurance information on a particular patient is entered, > > > > can it be seen via CPRS? I've looked around in CPRS for this on > > > > patient ZZTest, Patient One that I just entered the insurance info on > > > > but so far do not see it. -- IV

> > > -- > > > Nancy Anthracite

> -- > Nancy Anthracite- Hide quoted text -

> - Show quoted text -

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I, Valdes View profile More options Dec 6 2008, 12:09 pm From: "I, Valdes" <ival...@hal-pc.org> Date: Sat, 6 Dec 2008 09:09:09 -0800 (PST) Local: Sat, Dec 6 2008 12:09 pm Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author So CPRS 27 would have this, I wonder if that is coming along? -- IV

On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote:

- Hide quoted text - - Show quoted text - > CPRS has a button that lights up blue when a pt is insured.It pops up > a box with insurance information. I notice worldvista CPRS lacks this > button. This was introduced in version 26 so its been around for at > least a year.

> On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote:

> > I don't know how, yet, but I am sure we can program it in, and frankly, I have > > been eyeing that for some of the CCHIT requirements, so that might not be a > > bad idea to put in there, too.

> > On Saturday 06 December 2008, I, Valdes wrote:

> > > Ah! That pops up the following which doesn't seem to list the > > > insurance company name although it notes that it has 'Insurance > > > Buffer' entries which sounds like some kind of medication :-) This > > > looks very useful though.

> > > Health Insurance Information: > > > Insurance COB Subscriber ID Group Holder Effective > > > Expires

> > > =========================================================================== > > > No Insurance Information

> > > *** Patient has Insurance Buffer entries ***

> > > Can custom fields be added to this whole page that pops up?

> > > -- IV

> > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > Did you double click on the demographics part which is where the > > > > patient's name is in the upper left hand corner of the cover sheet (and > > > > probably the other sheets as well)?

> > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > So if the insurance information on a particular patient is entered, > > > > > can it be seen via CPRS? I've looked around in CPRS for this on > > > > > patient ZZTest, Patient One that I just entered the insurance info on > > > > > but so far do not see it. -- IV

> > > > -- > > > > Nancy Anthracite

> > -- > > Nancy Anthracite- Hide quoted text -

> > - Show quoted text -

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chappyware View profile More options Dec 6 2008, 7:12 pm From: chappyware <chappywa...@verizon.net> Date: Sat, 6 Dec 2008 16:12:16 -0800 (PST) Local: Sat, Dec 6 2008 7:12 pm Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author V27 has a number of unresolved issues. I would not rush to that version.

On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote:

- Hide quoted text - - Show quoted text - > So CPRS 27 would have this, I wonder if that is coming along? -- IV

> On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote:

> > CPRS has a button that lights up blue when a pt is insured.It pops up > > a box with insurance information. I notice worldvista CPRS lacks this > > button. This was introduced in version 26 so its been around for at > > least a year.

> > On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote:

> > > I don't know how, yet, but I am sure we can program it in, and frankly, I have > > > been eyeing that for some of the CCHIT requirements, so that might not be a > > > bad idea to put in there, too.

> > > On Saturday 06 December 2008, I, Valdes wrote:

> > > > Ah! That pops up the following which doesn't seem to list the > > > > insurance company name although it notes that it has 'Insurance > > > > Buffer' entries which sounds like some kind of medication :-) This > > > > looks very useful though.

> > > > Health Insurance Information: > > > > Insurance COB Subscriber ID Group Holder Effective > > > > Expires

> > > > =========================================================================== > > > > No Insurance Information

> > > > *** Patient has Insurance Buffer entries ***

> > > > Can custom fields be added to this whole page that pops up?

> > > > -- IV

> > > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > Did you double click on the demographics part which is where the > > > > > patient's name is in the upper left hand corner of the cover sheet (and > > > > > probably the other sheets as well)?

> > > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > > So if the insurance information on a particular patient is entered, > > > > > > can it be seen via CPRS? I've looked around in CPRS for this on > > > > > > patient ZZTest, Patient One that I just entered the insurance info on > > > > > > but so far do not see it. -- IV

> > > > > -- > > > > > Nancy Anthracite

> > > -- > > > Nancy Anthracite- Hide quoted text -

> > > - Show quoted text -

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Nancy Anthracite View profile More options Dec 6 2008, 10:59 pm From: Nancy Anthracite <nanthrac...@verizon.net> Date: Sat, 06 Dec 2008 22:59:16 -0500 Local: Sat, Dec 6 2008 10:59 pm Subject: Re: [Hardhats] Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author I have been hearing about the problems as well and am concerned about moving to it right away.

It is a moot point anyway since we don't have it, and I suspect because of the problems, it may not be released right away.

On Saturday 06 December 2008, chappyware wrote:

- Hide quoted text - - Show quoted text - > V27 has a number of unresolved issues. I would not rush to that > version.

> On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote: > > So CPRS 27 would have this, I wonder if that is coming along? -- IV

> > On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote: > > > CPRS has a button that lights up blue when a pt is insured.It pops up > > > a box with insurance information. I notice worldvista CPRS lacks this > > > button. This was introduced in version 26 so its been around for at > > > least a year.

> > > On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > I don't know how, yet, but I am sure we can program it in, and > > > > frankly, I have been eyeing that for some of the CCHIT requirements, > > > > so that might not be a bad idea to put in there, too.

> > > > On Saturday 06 December 2008, I, Valdes wrote: > > > > > Ah! That pops up the following which doesn't seem to list the > > > > > insurance company name although it notes that it has 'Insurance > > > > > Buffer' entries which sounds like some kind of medication :-) This > > > > > looks very useful though.

> > > > > Health Insurance Information: > > > > > Insurance COB Subscriber ID Group Holder Effective > > > > > Expires

> > > > > =================================================================== > > > > >======== No Insurance Information

> > > > > *** Patient has Insurance Buffer entries ***

> > > > > Can custom fields be added to this whole page that pops up?

> > > > > -- IV

> > > > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > Did you double click on the demographics part which is where the > > > > > > patient's name is in the upper left hand corner of the cover > > > > > > sheet (and probably the other sheets as well)?

> > > > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > > > So if the insurance information on a particular patient is > > > > > > > entered, can it be seen via CPRS? I've looked around in CPRS > > > > > > > for this on patient ZZTest, Patient One that I just entered the > > > > > > > insurance info on but so far do not see it. -- IV

> > > > > > -- > > > > > > Nancy Anthracite

> > > > -- > > > > Nancy Anthracite- Hide quoted text -

> > > > - Show quoted text -

-- Nancy Anthracite

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chappyware View profile More options Dec 8 2008, 9:15 am From: chappyware <chappywa...@verizon.net> Date: Mon, 8 Dec 2008 06:15:33 -0800 (PST) Local: Mon, Dec 8 2008 9:15 am Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author I stand corrected on the insurance button. It only appears IF THE PT HAS INSURANCE. I've not gotten that far but if someone has assigned a pt to an insurance company correctly, the insurance button should appear next to the patient Record flag panel.

On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:

- Hide quoted text - - Show quoted text - > I have been hearing about the problems as well and am concerned about moving > to it right away.

> It is a moot point anyway since we don't have it, and I suspect because of the > problems, it may not be released right away.

> On Saturday 06 December 2008, chappyware wrote:

> > V27 has a number of unresolved issues. I would not rush to that > > version.

> > On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote: > > > So CPRS 27 would have this, I wonder if that is coming along? -- IV

> > > On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote: > > > > CPRS has a button that lights up blue when a pt is insured.It pops up > > > > a box with insurance information. I notice worldvista CPRS lacks this > > > > button. This was introduced in version 26 so its been around for at > > > > least a year.

> > > > On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > I don't know how, yet, but I am sure we can program it in, and > > > > > frankly, I have been eyeing that for some of the CCHIT requirements, > > > > > so that might not be a bad idea to put in there, too.

> > > > > On Saturday 06 December 2008, I, Valdes wrote: > > > > > > Ah! That pops up the following which doesn't seem to list the > > > > > > insurance company name although it notes that it has 'Insurance > > > > > > Buffer' entries which sounds like some kind of medication :-) This > > > > > > looks very useful though.

> > > > > > Health Insurance Information: > > > > > > Insurance COB Subscriber ID Group Holder Effective > > > > > > Expires

> > > > > > =================================================================== > > > > > >======== No Insurance Information

> > > > > > *** Patient has Insurance Buffer entries ***

> > > > > > Can custom fields be added to this whole page that pops up?

> > > > > > -- IV

> > > > > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > > Did you double click on the demographics part which is where the > > > > > > > patient's name is in the upper left hand corner of the cover > > > > > > > sheet (and probably the other sheets as well)?

> > > > > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > > > > So if the insurance information on a particular patient is > > > > > > > > entered, can it be seen via CPRS? I've looked around in CPRS > > > > > > > > for this on patient ZZTest, Patient One that I just entered the > > > > > > > > insurance info on but so far do not see it. -- IV

> > > > > > > -- > > > > > > > Nancy Anthracite

> > > > > -- > > > > > Nancy Anthracite- Hide quoted text -

> > > > > - Show quoted text -

> -- > Nancy Anthracite- Hide quoted text -

> - Show quoted text -

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I, Valdes View profile More options Dec 8 2008, 9:27 am From: "I, Valdes" <ival...@hal-pc.org> Date: Mon, 8 Dec 2008 06:27:06 -0800 (PST) Local: Mon, Dec 8 2008 9:27 am Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author So I have the patients 'insurance buffer' um, titrated :-) How then do I confirm to the system that ZZPatient, Test One has Fine Print Insurance Group, Inc such that all the bells and whistles go off and it appears in CPRS?

-- IV

On Dec 8, 8:15 am, chappyware <chappywa...@verizon.net> wrote:

- Hide quoted text - - Show quoted text - > I stand corrected on the insurance button. It only appears IF THE PT > HAS INSURANCE. I've not gotten that far but if someone has assigned a > pt to an insurance company correctly, the insurance button should > appear next to the patient Record flag panel.

> On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:

> > I have been hearing about the problems as well and am concerned about moving > > to it right away.

> > It is a moot point anyway since we don't have it, and I suspect because of the > > problems, it may not be released right away.

> > On Saturday 06 December 2008, chappyware wrote:

> > > V27 has a number of unresolved issues. I would not rush to that > > > version.

> > > On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote: > > > > So CPRS 27 would have this, I wonder if that is coming along? -- IV

> > > > On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote: > > > > > CPRS has a button that lights up blue when a pt is insured.It pops up > > > > > a box with insurance information. I notice worldvista CPRS lacks this > > > > > button. This was introduced in version 26 so its been around for at > > > > > least a year.

> > > > > On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > I don't know how, yet, but I am sure we can program it in, and > > > > > > frankly, I have been eyeing that for some of the CCHIT requirements, > > > > > > so that might not be a bad idea to put in there, too.

> > > > > > On Saturday 06 December 2008, I, Valdes wrote: > > > > > > > Ah! That pops up the following which doesn't seem to list the > > > > > > > insurance company name although it notes that it has 'Insurance > > > > > > > Buffer' entries which sounds like some kind of medication :-) This > > > > > > > looks very useful though.

> > > > > > > Health Insurance Information: > > > > > > > Insurance COB Subscriber ID Group Holder Effective > > > > > > > Expires

> > > > > > > =================================================================== > > > > > > >======== No Insurance Information

> > > > > > > *** Patient has Insurance Buffer entries ***

> > > > > > > Can custom fields be added to this whole page that pops up?

> > > > > > > -- IV

> > > > > > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > > > Did you double click on the demographics part which is where the > > > > > > > > patient's name is in the upper left hand corner of the cover > > > > > > > > sheet (and probably the other sheets as well)?

> > > > > > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > > > > > So if the insurance information on a particular patient is > > > > > > > > > entered, can it be seen via CPRS? I've looked around in CPRS > > > > > > > > > for this on patient ZZTest, Patient One that I just entered the > > > > > > > > > insurance info on but so far do not see it. -- IV

> > > > > > > > -- > > > > > > > > Nancy Anthracite

> > > > > > -- > > > > > > Nancy Anthracite- Hide quoted text -

> > > > > > - Show quoted text -

> > -- > > Nancy Anthracite- Hide quoted text -

> > - Show quoted text -

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chappyware View profile More options Dec 8 2008, 12:43 pm From: chappyware <chappywa...@verizon.net> Date: Mon, 8 Dec 2008 09:43:52 -0800 (PST) Local: Mon, Dec 8 2008 12:43 pm Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author I've not had time to do it but first set up the insurance company. Then Register a pt. The insurance info goes into a temporary buffer waiting for someone to process it--don't know the key you need for that but it should be in the documentation. Once the pt is registered with insurance, I suspect the Insurance panel will show up on the coversheet.

On Dec 8, 9:27 am, "I, Valdes" <ival...@hal-pc.org> wrote:

- Hide quoted text - - Show quoted text - > So I have the patients 'insurance buffer' um, titrated :-) How then do > I confirm to the system that ZZPatient, Test One has Fine Print > Insurance Group, Inc such that all the bells and whistles go off and > it appears in CPRS?

> -- IV

> On Dec 8, 8:15 am, chappyware <chappywa...@verizon.net> wrote:

> > I stand corrected on the insurance button. It only appears IF THE PT > > HAS INSURANCE. I've not gotten that far but if someone has assigned a > > pt to an insurance company correctly, the insurance button should > > appear next to the patient Record flag panel.

> > On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:

> > > I have been hearing about the problems as well and am concerned about moving > > > to it right away.

> > > It is a moot point anyway since we don't have it, and I suspect because of the > > > problems, it may not be released right away.

> > > On Saturday 06 December 2008, chappyware wrote:

> > > > V27 has a number of unresolved issues. I would not rush to that > > > > version.

> > > > On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote: > > > > > So CPRS 27 would have this, I wonder if that is coming along? -- IV

> > > > > On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote: > > > > > > CPRS has a button that lights up blue when a pt is insured.It pops up > > > > > > a box with insurance information. I notice worldvista CPRS lacks this > > > > > > button. This was introduced in version 26 so its been around for at > > > > > > least a year.

> > > > > > On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > > I don't know how, yet, but I am sure we can program it in, and > > > > > > > frankly, I have been eyeing that for some of the CCHIT requirements, > > > > > > > so that might not be a bad idea to put in there, too.

> > > > > > > On Saturday 06 December 2008, I, Valdes wrote: > > > > > > > > Ah! That pops up the following which doesn't seem to list the > > > > > > > > insurance company name although it notes that it has 'Insurance > > > > > > > > Buffer' entries which sounds like some kind of medication :-) This > > > > > > > > looks very useful though.

> > > > > > > > Health Insurance Information: > > > > > > > > Insurance COB Subscriber ID Group Holder Effective > > > > > > > > Expires

> > > > > > > > =================================================================== > > > > > > > >======== No Insurance Information

> > > > > > > > *** Patient has Insurance Buffer entries ***

> > > > > > > > Can custom fields be added to this whole page that pops up?

> > > > > > > > -- IV

> > > > > > > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > > > > Did you double click on the demographics part which is where the > > > > > > > > > patient's name is in the upper left hand corner of the cover > > > > > > > > > sheet (and probably the other sheets as well)?

> > > > > > > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > > > > > > So if the insurance information on a particular patient is > > > > > > > > > > entered, can it be seen via CPRS? I've looked around in CPRS > > > > > > > > > > for this on patient ZZTest, Patient One that I just entered the > > > > > > > > > > insurance info on but so far do not see it. -- IV

> > > > > > > > > -- > > > > > > > > > Nancy Anthracite

> > > > > > > -- > > > > > > > Nancy Anthracite- Hide quoted text -

> > > > > > > - Show quoted text -

> > > -- > > > Nancy Anthracite- Hide quoted text -

> > > - Show quoted text -

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chappyware View profile More options Dec 8 2008, 12:47 pm From: chappyware <chappywa...@verizon.net> Date: Mon, 8 Dec 2008 09:47:49 -0800 (PST) Local: Mon, Dec 8 2008 12:47 pm Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author look at page 154 of the Integrated Billing User Manual. I think you'll find some answers there.

On Dec 8, 12:43 pm, chappyware <chappywa...@verizon.net> wrote:

- Hide quoted text - - Show quoted text - > I've not had time to do it but first set up the insurance company. > Then Register a pt. The insurance info goes into a temporary buffer > waiting for someone to process it--don't know the key you need for > that but it should be in the documentation. Once the pt is registered > with insurance, I suspect the Insurance panel will show up on the > coversheet.

> On Dec 8, 9:27 am, "I, Valdes" <ival...@hal-pc.org> wrote:

> > So I have the patients 'insurance buffer' um, titrated :-) How then do > > I confirm to the system that ZZPatient, Test One has Fine Print > > Insurance Group, Inc such that all the bells and whistles go off and > > it appears in CPRS?

> > -- IV

> > On Dec 8, 8:15 am, chappyware <chappywa...@verizon.net> wrote:

> > > I stand corrected on the insurance button. It only appears IF THE PT > > > HAS INSURANCE. I've not gotten that far but if someone has assigned a > > > pt to an insurance company correctly, the insurance button should > > > appear next to the patient Record flag panel.

> > > On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:

> > > > I have been hearing about the problems as well and am concerned about moving > > > > to it right away.

> > > > It is a moot point anyway since we don't have it, and I suspect because of the > > > > problems, it may not be released right away.

> > > > On Saturday 06 December 2008, chappyware wrote:

> > > > > V27 has a number of unresolved issues. I would not rush to that > > > > > version.

> > > > > On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote: > > > > > > So CPRS 27 would have this, I wonder if that is coming along? -- IV

> > > > > > On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote: > > > > > > > CPRS has a button that lights up blue when a pt is insured.It pops up > > > > > > > a box with insurance information. I notice worldvista CPRS lacks this > > > > > > > button. This was introduced in version 26 so its been around for at > > > > > > > least a year.

> > > > > > > On Dec 6, 11:27 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > > > I don't know how, yet, but I am sure we can program it in, and > > > > > > > > frankly, I have been eyeing that for some of the CCHIT requirements, > > > > > > > > so that might not be a bad idea to put in there, too.

> > > > > > > > On Saturday 06 December 2008, I, Valdes wrote: > > > > > > > > > Ah! That pops up the following which doesn't seem to list the > > > > > > > > > insurance company name although it notes that it has 'Insurance > > > > > > > > > Buffer' entries which sounds like some kind of medication :-) This > > > > > > > > > looks very useful though.

> > > > > > > > > Health Insurance Information: > > > > > > > > > Insurance COB Subscriber ID Group Holder Effective > > > > > > > > > Expires

> > > > > > > > > =================================================================== > > > > > > > > >======== No Insurance Information

> > > > > > > > > *** Patient has Insurance Buffer entries ***

> > > > > > > > > Can custom fields be added to this whole page that pops up?

> > > > > > > > > -- IV

> > > > > > > > > On Dec 6, 6:53 am, Nancy Anthracite <nanthrac...@verizon.net> wrote: > > > > > > > > > > Did you double click on the demographics part which is where the > > > > > > > > > > patient's name is in the upper left hand corner of the cover > > > > > > > > > > sheet (and probably the other sheets as well)?

> > > > > > > > > > On Friday 05 December 2008, I, Valdes wrote: > > > > > > > > > > > So if the insurance information on a particular patient is > > > > > > > > > > > entered, can it be seen via CPRS? I've looked around in CPRS > > > > > > > > > > > for this on patient ZZTest, Patient One that I just entered the > > > > > > > > > > > insurance info on but so far do not see it. -- IV

> > > > > > > > > > -- > > > > > > > > > > Nancy Anthracite

> > > > > > > > -- > > > > > > > > Nancy Anthracite- Hide quoted text -

> > > > > > > > - Show quoted text -

> > > > -- > > > > Nancy Anthracite- Hide quoted text -

> > > > - Show quoted text -

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chappyware View profile More options Dec 8 2008, 1:58 pm From: chappyware <chappywa...@verizon.net> Date: Mon, 8 Dec 2008 10:58:28 -0800 (PST) Local: Mon, Dec 8 2008 1:58 pm Subject: Re: Intracare Implementation Log Episode 34: Entering Insurance Information? Reply to author | Forward | Print | Individual message | Show original | Report this message | Find messages by this author I got the insurance panel to appear in CPRS. Its a multi-step process but here's some of the menu activity

  PI     Patient Insurance Info View/Edit

  VP     View Patient Insurance

  EI     Insurance Company Entry/Edit

  VI     View Insurance Company

  EPR    Insurance Company EDI Parameter Report

  BI     Process Insurance Buffer

  EPH    e-Pharmacy Menu ...

  IIV    IIV Menu ...

  LC     List Inactive Ins. Co. Covering Patients

  LP     List Plans by Insurance Company

  MI     Medicare Insurance Intake

  MV     Move Subscribers to a Different Plan

  NC     Verification of No Coverage Report

  NE     Active Policies with no Effective Date Report

  NV     List New not Verified Policies

  PM     Payer Maintenance Menu ...

  RQI    Remote Insurance Query

  WO     Patients with or without Insurance Report

Select Patient Insurance Menu Option: pi Patient Insurance Info View/ Edit

Select PATIENT NAME:

 PUG,DUDLEY                                M 07-28-2007 000000014

000000014

AB Annual Benefits RI Personal Riders EX Exit

Patient Insurance Management Dec 08, 2008@13:52:21 Page: 1 of 1

Insurance Management for Patient: PUG,DUDLEY P0014

- - Patient has Insurance Buffer Records

   Insurance Co.    Type of Policy   Group        Holder   Effect.

Expires

   No Insurance Policies on file for this

patient.

         Enter ?? for more

actions >>>

AP Add Policy EA Fast Edit All CP Change Patient

VP Policy Edit/View BU Benefits Used WP Worksheet Print

DP Delete Policy VC Verify Coverage PC Print Insurance Cov.

AB Annual Benefits RI Personal Riders EX Exit

Select Item(s): Quit// ap Add Policy

The way we store and think about patient insurance information has been

dramatically changed. We are separating out information that is specific

to an insurance company, specific to the patient, specific to the group plan,

specific to the annual benefits available, and the annual benefits already

used.

To start, you must select the insurance company for the patient's policy.

Select INSURANCE COMPANY: Aetna 123 MAIN Y

Each Insurance policy entry for a patient must be associated with an

Insurance Plan offered by the Insurance company you just selected.

You will be given a choice of selecting previously entered Group Plans or

you may enter a new one. If you enter a new Insurance Plan you

must enter whether or not this is a group or individual plan.

This company does not offer any active group plans.

Do you wish to add a new Insurance Plan? NO// y YES

 IS THIS A GROUP PLAN: y  YES

 GROUP PLAN NAME: STANDARD

 GROUP PLAN NUMBER: 12345

 Searching for potential duplicate plans offered by AETNA...

 No potential duplicate plans have been identified.

Now you may enter the patient specific policy information.

Most of these fields will be familiar to experienced users. The field

'SUBSCRIBER ID' used to be called 'INSURANCE NUMBER' and

has been modified to allow entering just 'SS' to retrieve

the patients SSN. This field is the identifier for the policy or patient

that the carrier uses. See the new help.

EFFECTIVE DATE OF POLICY: 1/1/08 (JAN 01, 2008)

INSURANCE EXPIRATION DATE: 1/1/10 (JAN 01, 2010)

WARNING: The expiration date for this policy is in the future!

         Normally this is a past date or left blank or a past date

INSURANCE EXPIRATION DATE: JAN 1,2010//

WHOSE INSURANCE: p??

    Choose from:

      v        VETERAN

      s        SPOUSE

      o        OTHER

WHOSE INSURANCE: v VETERAN

SUBSCRIBER ID: 12345

INSURED'S DOB: 7/28/07 (JUL 28, 2007)

INSURED'S SEX: m MALE

SOURCE OF INFORMATION: INTERVIEW//

COORDINATION OF BENEFITS:

PRIMARY CARE PROVIDER:

PRIMARY PROVIDER PHONE:

WARNING: The expiration date for this policy is in the future!

         Normally this is a past date or left blank or a past date

You can now edit information specific to the PLAN. Remember, updating

PLAN information will affect all patients with this plan, if it is a

group plan, and not just the current patient.

GROUP NAME: STANDARD//

GROUP NUMBER: 12345//

BANKING IDENTIFICATION NUMBER:

PROCESSOR CONTROL NUMBER (PCN):

TYPE OF PLAN: ?

    Enter the type of policy that best describes this policy.

    Active Types of Plans Only!

Answer with TYPE OF PLAN NAME, or ABBREVIATION, or MAJOR CATEGORY

Do you want the entire TYPE OF PLAN List? y  (Yes)

  Choose from:

  ACCIDENT AND HEALTH INSURANCE        MAJOR MEDICAL

  AUTOMOBILE        MAJOR MEDICAL

  CARVE-OUT        MAJOR MEDICAL

  CATASTROPHIC INSURANCE        MAJOR MEDICAL

  CHAMPVA        MAJOR MEDICAL

  COMPREHENSIVE MAJOR MEDICAL        MAJOR MEDICAL

  DENTAL INSURANCE        DENTAL

  HEALTH MAINTENANCE ORGANIZ        MAJOR MEDICAL

  INCOME PROTECTION (INDEMNITY)        INDEMNITY

  INDIVIDUAL PRACTICE ASSOCATION        MAJOR MEDICAL

  INPATIENT (BASIC HOSPITAL)        MAJOR MEDICAL

  LABS, PROCEDURES, X-RAY, ETC.         ALL OTHER

  MANAGED CARE SYSTEM (MCS)        MAJOR MEDICAL

  MEDI-CAL        MEDICAIDE

  MEDICAID        MEDICAIDE

  MEDICAL EXPENSE (OPT/PROF)        MAJOR MEDICAL

  MEDICARE (M)        MEDICARE

  MEDICARE SECONDARY        MAJOR MEDICAL

  MEDICARE/MEDICAID (MEDI-CAL)        MEDICARE

  MEDIGAP (SUPPLEMENTAL)        MEDICARE SUPPLEMENTAL

  MENTAL HEALTH        ALL OTHER

  NO-FAULT INSURANCE        MAJOR MEDICAL

  POINT OF SERVICE        HMO

  PREFERRED PROVIDER ORGANIZATIO        PPO

  PREPAID GROUP PRACTICE PLAN        HMO

  PRESCRIPTION        PRESCRIPTION

  RETIREE        MAJOR MEDICAL

  SPECIAL CLASS INSURANCE        MAJOR MEDICAL

  SPECIAL RISK INSURANCE        MAJOR MEDICAL

  SPECIFIED DISEASE INSURANCE        MAJOR MEDICAL

  SURGICAL EXPENSE INSURANCE        MAJOR MEDICAL

  TORT FEASOR        ALL OTHER

  TRICARE        CHAMPUS

  TRICARE SUPPLEMENTAL        MAJOR MEDICAL

  WORKERS' COMPENSATION INSURANC        WORKMANS COMP

TYPE OF PLAN: comPREHENSIVE MAJOR MEDICAL MAJOR MEDICAL

ELECTRONIC PLAN TYPE:

PLAN FILING TIME FRAME:

IS UTILIZATION REVIEW REQUIRED:

AMBULATORY CARE CERTIFICATION:

IS PRE-CERTIFICATION REQUIRED?: n NO

EXCLUDE PRE-EXISTING CONDITION: n NO

BENEFITS ASSIGNABLE?: YES// YES

COVERED BY HEALTH INSURANCE changed to 'YES'.

.

AB Annual Benefits RI Personal Riders EX Exit

Patient Insurance Management Dec 08, 2008@13:54:13 Page: 1 of 1 Insurance Management for Patient: PUG,DUDLEY P0014

- - Patient has Insurance Buffer Records

   Insurance Co.    Type of Policy   Group        Holder   Effect.

Expires 1 AETNA COMPREHENSIVE M 12345 SELF 01/01/08 01/01/10

         Enter ?? for more

actions >>> AP Add Policy EA Fast Edit All CP Change Patient VP Policy Edit/View BU Benefits Used WP Worksheet Print DP Delete Policy VC Verify Coverage PC Print Insurance Cov. AB Annual Benefits RI Personal Riders EX Exit Select Item(s): Quit//

On Dec 8, 12:47 pm, chappyware <chappywa...@verizon.net> wrote:

- Hide quoted text - - Show quoted text - > look at page 154 of the Integrated Billing User Manual. I think you'll > find some answers there.

> On Dec 8, 12:43 pm, chappyware <chappywa...@verizon.net> wrote:

> > I've not had time to do it but first set up the insurance company. > > Then Register a pt. The insurance info goes into a temporary buffer > > waiting for someone to process it--don't know the key you need for > > that but it should be in the documentation. Once the pt is registered > > with insurance, I suspect the Insurance panel will show up on the > > coversheet.

> > On Dec 8, 9:27 am, "I, Valdes" <ival...@hal-pc.org> wrote:

> > > So I have the patients 'insurance buffer' um, titrated :-) How then do > > > I confirm to the system that ZZPatient, Test One has Fine Print > > > Insurance Group, Inc such that all the bells and whistles go off and > > > it appears in CPRS?

> > > -- IV

> > > On Dec 8, 8:15 am, chappyware <chappywa...@verizon.net> wrote:

> > > > I stand corrected on the insurance button. It only appears IF THE PT > > > > HAS INSURANCE. I've not gotten that far but if someone has assigned a > > > > pt to an insurance company correctly, the insurance button should > > > > appear next to the patient Record flag panel.

> > > > On Dec 6, 10:59 pm, Nancy Anthracite <nanthrac...@verizon.net> wrote:

> > > > > I have been hearing about the problems as well and am concerned about moving > > > > > to it right away.

> > > > > It is a moot point anyway since we don't have it, and I suspect because of the > > > > > problems, it may not be released right away.

> > > > > On Saturday 06 December 2008, chappyware wrote:

> > > > > > V27 has a number of unresolved issues. I would not rush to that > > > > > > version.

> > > > > > On Dec 6, 12:09 pm, "I, Valdes" <ival...@hal-pc.org> wrote: > > > > > > > So CPRS 27 would have this, I wonder if that is coming along? -- IV

> > > > > > > On Dec 6, 11:04 am, chappyware <chappywa...@verizon.net> wrote: > > > > > > > > CPRS has a button that lights up blue when a pt is insured.It pops up > > > > > > > > a box with insurance information. I notice worldvista CPRS lacks this

...

Ignacio Valdes Implementation Log/Episode34

===============================================================

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