Content Comparison

Control Name

Type

Description

Claim ID

text field

Claim number.

 Claim ID for a new claim is generated automatically if Greenrain Facility generates Claim ID automatically is selected in Settings > General; the field is disabled. Claim ID can be set manually if Allow user to enter Claim ID manually is selected in Settings > General; the field is enabled in this case.

The automatic generation of Claim ID is performed as follows.

1. If setting ID Prefix is empty, then Claim ID / Request ID is generated as [value from setting Provider ID]-[auto-generated value].
2. If setting ID Prefix has value, then ID is generated as [value from setting Provider ID]-[value from setting ID Prefix]-[auto-generated value].

1. Claim ID must be unique.

Payer Claim ID

text field

Claim number from the payer

. The field is not editable.

Visit Info

Start Date

date picker

Visit start date.

The latest saved Start Date

is preselected by default in new requests and e-claims.

End Date

date picker

Yes, if Visit Type = 3 or 4

No, otherwise

Visit end date

. End Date must be greater than or equal to Start Date. If

the user sets Start Date > End Date, then End Date adjusts to Start Date automatically.

The field becomes mandatory if the user selects Visit Type = 3 or 4).

Set today as patient visit date

link 

On clicking the link

Start Date switches to today's date.

Visit Type

drop-down list

Patient visit type.

Possible values:

• 1 - No bed + No emergency room;
• 2 - No bed + Emergency room;
• 3 - Inpatient bed + No emergency room;
• 4 - Inpatient bed + Emergency room;
• 5 - Daycase bed + No emergency room;
• 6 - Daycase bed + Emergency room;
• 7 - National screening;
• 8 - New visa screening;
• 9 - Renewal visa screening;
• 12 - Home;
• 13 - Assisted living facility;
• 14 - Mobile unit;
• 41 - Ambulance - land;
• 42 - Ambulance - air or water.

The latest saved Visit Type will be preselected by default in new requests and e-claims (/wiki/spaces/GF/pages/1117093889).

Visit Start Type

drop-down list

Yes, if Visit Type = 3 or 4

No, otherwise

Patient visit start type.

Possible values:

• 1 - Elective;
• 2 - Emergency;
• 3 - Transfer admission from acute care;
• 4 - Live birth;
• 5 - Still birth;
• 6 - Dead on arrival;
• 7 - Continuing encounter;
• 8 - Transfer admission from non-acute care.

The field becomes mandatory if the user selects Visit Type = 3 or 4.

Visit End Type

drop-down list

Yes, if Visit Type = 3 or 4

No, otherwise

Patient visit end type

(how the patient was discharged).

Possible values:

• 1 - Discharged with approval;
• 2 - Discharged against advice;
• 3 - Discharged absent without leave;
• 4 - Discharged transfer to acute care;
• 5 - Deceased;
• 6 - Not discharged;
• 7 - Discharged transfer to non-acute care.

The field becomes mandatory if the user selects Visit Type = 3 or 4.

Yes, if Visit Start Type = 3 or 8

No, otherwise

Healthcare facility from where a hospital transfer originated. 

Format: code: description (Facilities list).

The field enables, mandatory if the user selects Visit Start Type = 3 or 8. If the facility is not in the list of licensed providers, the user can enter '@' followed by the name of the facility.

Yes, if Visit End Type = 4 or 7

No, otherwise

Healthcare facility to which a hospital transfer is made at the end of an encounter.

Format: code: description (Facilities list).

The field enables, mandatory if the user selects Visit End Type = 4 or 7. If the facility is not in the list of licensed providers, the user can enter '@' followed by the name of the facility.

Diagnoses

Type

drop-down list

Diagnosis type.

Possible values:

• Principal

• ;
• Secondary

• ;
• Admitting;
• Reason For Visit.

A claim may have:

• the principal diagnosis only;

• the principal diagnosis and from one to several secondary

• diagnoses.

ICD10 Diagnosis

text

field + [...] selection button

Diagnosis from

ICD10 code set.

Format: code: description.

The user can type it manually (e.g. a code) and press Enter key or they can select it from the list which opens by pressing […] button.

If Diagnosis Effective Date <= 31 December 2016, the label becomes ICD9 Diagnosis: and ICD9 code set is used.

Selected Diagnoses

grid

All diagnoses added to a claim. The grid contains the following columns:

• Type -

• shows value selected from Type drop-down list;
• Code -

• shows value set in

• ICD10 Diagnosis field.

Add this diagnosis to your favourites

link 

The link

appears when

ICD10 Diagnosis is set and this diagnosis is not in Favourites list yet. On clicking the link the diagnosis adds to Favourites list and link disappears.

Search for your favourite diagnosis

link 

On clicking the link

Your Favourite Diagnoses form opens where all diagnoses once added to

favorites are listed. If the user selects any of them and

clicks Select button, the form closes and the diagnosis appears in

ICD10 Diagnosis field.

Add new diagnosis (Ctrl + N)

link 

On clicking the link

(or pressing Ctrl + N) an empty row adds to the Selected Diagnoses grid.

Remove this diagnosis (Ctrl + D)

link 

On clicking the link

(or pressing Ctrl + D) the highlighted row removes from the Selected Diagnoses grid.